Weaver, Bradley

Weaver, Bradley is an individual health care provider with primary practice located at 30 N Medical Dr , Salt Lake City UT 84132-3228. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Weaver, Bradley can be contacted via phone (801) 608-2723.

Contact Information

Primary practice address
30 N Medical Dr Salt Lake City UT 84132-3228
Phone: (801) 608-2723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1891425484
LBN Legal business name Weaver, Bradley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2022
Last updated May 29th, 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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