Starley, Brad Q
Starley, Brad Q is an individual health care provider with primary practice located at 775 Pole Line Rd W Suite 203, Twin Falls ID 83301-5814. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Starley, Brad Q can be contacted via phone (208) 814-8300.Contact Information
Primary practice address
775 Pole Line Rd W Suite 203
Twin Falls ID 83301-5814
Phone: (208) 814-8300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101239001 | Virginia |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 12112 | North Dakota |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | M-12760 | Idaho |
Profile Details
NPI number | 1669443909 |
---|---|
LBN Legal business name | Starley, Brad Q |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2006 |
Last updated | Jul 9th, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669443909 | NPPES |
Idaho | MEDICAID | 1669443909 |
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