Byker, Bradley Joe

Byker, Bradley Joe is an individual health care provider with primary practice located at 130 S Knowles Ave , New Richmond WI 54017-1727. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Byker, Bradley Joe can be contacted via phone (715) 246-3018.

Contact Information

Primary practice address
130 S Knowles Ave New Richmond WI 54017-1727
Phone: (715) 246-3018
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 138913-30 Wisconsin

Profile Details

NPI number 1386663706
LBN Legal business name Byker, Bradley Joe
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 16th, 2015 - about 11 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 1386663706 NPPES
Wisconsin MEDICAID 43396700

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