Waterman, Bradley J.
Waterman, Bradley J. is an sole proprietor health care provider with primary practice located at 24 S 1100 E Ste 105 , Salt Lake City UT 84102-1593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Waterman, Bradley J. can be contacted via phone (801) 965-3600.Contact Information
Primary practice address
24 S 1100 E Ste 105
Salt Lake City UT 84102-1593
Phone: (801) 965-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 46318 | Wisconsin |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 6602968-1205 | Utah |
Profile Details
| NPI number | 1699718809 |
|---|---|
| LBN Legal business name | Waterman, Bradley J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Oct 2nd, 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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