Walker, Bradley L

Walker, Bradley L is an individual health care provider with primary practice located at 120 S Railroad Ave , Pocatello ID 83204-3205. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Walker, Bradley L can be contacted via phone (208) 236-5215.

Contact Information

Primary practice address
120 S Railroad Ave Pocatello ID 83204-3205
Fax: (208) 236-5201
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-85A Idaho

Profile Details

NPI number 1871563007
LBN Legal business name Walker, Bradley L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 14 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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