Brady, Jeffrey R

Brady, Jeffrey R is an individual health care provider with primary practice located at 25 W Hickman Rd , Waukee IA 50263-5018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brady, Jeffrey R can be contacted via phone (515) 643-7000.

Contact Information

Primary practice address
25 W Hickman Rd Waukee IA 50263-5018
Fax: (515) 643-7001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02248 Iowa

Profile Details

NPI number 1467465716
LBN Legal business name Brady, Jeffrey R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Sep 3rd, 2010 - about 16 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 1467465716 NPPES
Iowa MEDICAID 5038018

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