Stevens, Bradley Orin
Stevens, Bradley Orin is an individual health care provider with primary practice located at 5848 S Fashion Blvd Ste 110 , Salt Lake City UT 84107-6175. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Stevens, Bradley Orin can be contacted via phone (801) 314-4005.Contact Information
Primary practice address
5848 S Fashion Blvd Ste 110
Salt Lake City UT 84107-6175
Phone: (801) 314-4005
Fax: (801) 314-4015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 7731542-1206 | Utah |
Profile Details
| NPI number | 1396283248 |
|---|---|
| LBN Legal business name | Stevens, Bradley Orin |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2017 |
| Last updated | Oct 16th, 2017 - about 9 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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