Starley, Brad Q

Starley, Brad Q is an individual health care provider with primary practice located at 775 Pole Line Rd W Suite 203, Twin Falls ID 83301-5814. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Starley, Brad Q can be contacted via phone (208) 814-8300.

Contact Information

Primary practice address
775 Pole Line Rd W Suite 203 Twin Falls ID 83301-5814
Phone: (208) 814-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101239001 Virginia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 12112 North Dakota
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X M-12760 Idaho

Profile Details

NPI number 1669443909
LBN Legal business name Starley, Brad Q
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 9th, 2015 - about 11 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 1669443909 NPPES
Idaho MEDICAID 1669443909

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