Goll, Bradley

Goll, Bradley is an sole proprietor health care provider with primary practice located at 810 Jasmine St , Omak WA 98841-9578. 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. Goll, Bradley can be contacted via phone (509) 826-1760.

Contact Information

Primary practice address
810 Jasmine St Omak WA 98841-9578
Phone: (509) 826-1760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 50150 Idaho

Profile Details

NPI number 1770121089
LBN Legal business name Goll, Bradley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2019
Last updated Dec 17th, 2019 - about 7 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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