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Contact Information

BRADLEY A SANDS
1188 SOUTH STATE ROUTE 157
EDWARDSVILLE, IL62025
 Phone: 618-220-1234
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BRADLEY A SANDS · (Male)

NPI Number 1265993646
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2019
Last updated 07/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209019065
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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