Brady, Nathanael Steven
Brady, Nathanael Steven is an sole proprietor health care provider with primary practice located at 1710 Jet Stream Dr Ste 105 , Colorado Springs CO 80921-3937. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Brady, Nathanael Steven can be contacted via phone (719) 260-1022.Contact Information
Primary practice address
1710 Jet Stream Dr Ste 105
Colorado Springs CO 80921-3937
Phone: (719) 260-1022
Fax: (719) 260-7790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 34.009046 | Ohio |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 48591 | Colorado |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34.009046 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 48591 | Colorado |
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 48591 | Colorado |
Profile Details
| NPI number | 1497954358 |
|---|---|
| LBN Legal business name | Brady, Nathanael Steven |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Jan 10th, 2025 - about last year |
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 | 1497954358 | NPPES |
| Colorado | MEDICAID | 83737049 |
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