Bradley, Austin

Bradley, Austin is an individual health care provider with primary practice located at 405 W Jackson St , Carbondale IL 62901-1462. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bradley, Austin can be contacted via phone (618) 549-0721.

Contact Information

Primary practice address
405 W Jackson St Carbondale IL 62901-1462
Phone: (618) 549-0721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209013889 Illinois

Profile Details

NPI number 1649630294
LBN Legal business name Bradley, Austin
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2016
Last updated Apr 2nd, 2016 - 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.

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