Hickman, Bradley Smith
Hickman, Bradley Smith is an sole proprietor health care provider with primary practice located at 2392 Addison Ave E , Twin Falls ID 83301-6745. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hickman, Bradley Smith can be contacted via phone (307) 548-5200.Contact Information
Primary practice address
2392 Addison Ave E
Twin Falls ID 83301-6745
Phone: (307) 548-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-2529 | Idaho |
Profile Details
| NPI number | 1629588009 |
|---|---|
| LBN Legal business name | Hickman, Bradley Smith |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2017 |
| Last updated | Mar 5th, 2024 - about 2 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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