Brady, Thomas B

Brady, Thomas B is an individual health care provider with primary practice located at 10 Andover Rd , Portland ME 04102-1954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brady, Thomas B can be contacted via phone (207) 761-6642.

Contact Information

Primary practice address
10 Andover Rd Portland ME 04102-1954
Phone: (207) 761-6642
Fax: (207) 773-2603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 014327 Maine

Profile Details

NPI number 1417035601
LBN Legal business name Brady, Thomas B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Aug 19th, 2008 - about 18 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 1417035601 NPPES
Maine MEDICAID 302490099
Maine MEDICAID 154600000

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