Smith, Bradley

Smith, Bradley is an individual health care provider with primary practice located at 13 Industrial Park Rd , Saco ME 04072-1804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Smith, Bradley can be contacted via phone (207) 283-8800.

Contact Information

Primary practice address
13 Industrial Park Rd Saco ME 04072-1804
Phone: (207) 283-8800
Fax: (207) 286-9853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA249 Maine
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-249 Maine

Profile Details

NPI number 1245465038
LBN Legal business name Smith, Bradley
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2009
Last updated Apr 1st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245465038 NPPES
Maine MEDICAID 1245465038

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