Bradley, Tyson

Bradley, Tyson is an individual health care provider with primary practice located at 1950 Nw Myhre Rd Fl 3 , Silverdale WA 98383-7662. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bradley, Tyson can be contacted via phone (564) 240-4200.

Contact Information

Primary practice address
1950 Nw Myhre Rd Fl 3 Silverdale WA 98383-7662
Phone: (564) 240-4200
Fax: (564) 240-4299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 61116811 Washington

Profile Details

NPI number 1487208591
LBN Legal business name Bradley, Tyson
Credentials PA-S
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2019
Last updated May 23rd, 2022 - about 4 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 1487208591 NPPES
Washington MEDICAID 2174485

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