Sumrell, Brad

Sumrell, Brad is an individual health care provider with primary practice located at 275 W Herndon Ave , Clovis CA 93612-0204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sumrell, Brad can be contacted via phone (559) 324-6200.

Contact Information

Primary practice address
275 W Herndon Ave Clovis CA 93612-0204
Phone: (559) 324-6200
Fax: (559) 324-6280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A40182 California

Profile Details

NPI number 1952382749
LBN Legal business name Sumrell, Brad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Aug 22nd, 2007 - about 17 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 1952382749 NPPES
California Other 77040368493612B002 CHAMPUS
California MEDICAID 00A401820 CHAMPUS
California Other 00A401820 CHAMPUS

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