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Contact Information

NATHANIEL BRUNDIDGE, CADC
113 N JOHN WAYNE DR
WINTERSET, IA50273-1501
 Phone: 515-462-5967
 Fax: 515-462-5981
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for NATHANIEL BRUNDIDGE · (Male)

NPI Number 1922631068
Status Active
Credentials CADC
Entity Individual
Enumeration date 02/18/2020
Last updated 02/18/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 20010
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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