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Contact Information

ALICIA BRADEN, LMP
6606 LINCOLN ST
BONNERS FERRY, ID83805-8513
 Phone: 208-290-7088
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for ALICIA BRADEN · (Female)

NPI Number 1699947127
Status Active
Credentials LMP (Licensed Medical Practitioner)
Entity Individual
Enumeration date 03/25/2008
Last updated 03/25/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MA00011216
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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