Clair, Bradley Trent

Clair, Bradley Trent is an individual health care provider with primary practice located at 5196 Hill Rd E Ste 202, Lakeport CA 95453-6360. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Clair, Bradley Trent can be contacted via phone (707) 263-1777.

Contact Information

Primary practice address
5196 Hill Rd E Ste 202 Lakeport CA 95453-6360
Phone: (707) 263-1777
Fax: (707) 263-8137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A45681 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A45681 California
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X A45681 California

Profile Details

NPI number 1083611198
LBN Legal business name Clair, Bradley Trent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Feb 7th, 2012 - about 14 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 1083611198 NPPES
California MEDICAID 00A456810
California Other 00A456810
California Other 060020642

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