Pickering, William Bradley

Pickering, William Bradley is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Pickering, William Bradley can be contacted via phone (601) 264-6000.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 264-6000
Fax: (601) 579-5212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R802367 Mississippi

Profile Details

NPI number 1346629326
LBN Legal business name Pickering, William Bradley
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2015
Last updated Feb 28th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346629326 NPPES
Mississippi MEDICAID 09220725

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