Anderson, Bradley W
Anderson, Bradley W is an individual health care provider with primary practice located at 2169 South Ave , South Lake Tahoe CA 96150-7059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Anderson, Bradley W can be contacted via phone (530) 543-5400.Contact Information
Primary practice address
2169 South Ave
South Lake Tahoe CA 96150-7059
Phone: (530) 543-5400
Fax: (530) 544-1959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | C127871 | California |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 15032 | Nevada |
Profile Details
| NPI number | 1053403105 |
|---|---|
| LBN Legal business name | Anderson, Bradley W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 16th, 2014 - about 12 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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