Wajda, Bradley Thomas

Wajda, Bradley Thomas is an sole proprietor health care provider with primary practice located at 1393 Bailey Dr. , Hanford CA 93230-5922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wajda, Bradley Thomas can be contacted via phone (559) 582-4481.

Contact Information

Primary practice address
1393 Bailey Dr. Hanford CA 93230-5922
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 20A5557 California

Profile Details

NPI number 1639394364
LBN Legal business name Wajda, Bradley Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 18 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 1639394364 NPPES
California MEDICAID 160101904300

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