Dick, Bradley W
Dick, Bradley W is an individual health care provider with primary practice located at 2475 E Broadway St , Helena MT 59601-4928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Dick, Bradley W can be contacted via phone (406) 457-4180.Contact Information
Primary practice address
2475 E Broadway St
Helena MT 59601-4928
Phone: (406) 457-4180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | D0038425 | Maryland |
Profile Details
| NPI number | 1609866540 |
|---|---|
| LBN Legal business name | Dick, Bradley W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2005 |
| Last updated | Mar 26th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609866540 | NPPES |
| District of Columbia | MEDICAID | 021292700 | |
| District of Columbia | MEDICAID | 7200455 | |
| District of Columbia | MEDICAID | 543651600 |
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