Brady, James Bart
Brady, James Bart is an sole proprietor health care provider with primary practice located at 4101 S 1St St , Cabot AR 72023-7418. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brady, James Bart can be contacted via phone (501) 941-4321.Contact Information
Primary practice address
4101 S 1St St
Cabot AR 72023-7418
Phone: (501) 941-4321
Fax: (501) 438-4033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | AR2395 | Arkansas |
Profile Details
| NPI number | 1205950011 |
|---|---|
| LBN Legal business name | Brady, James Bart |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | May 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205950011 | NPPES |
| Arkansas | MEDICAID | 149017722 |
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