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Contact Information

BRADY W CORSE, ATC/L
200 NE MOTHER JOSEPH PLACE
SUITE 100
VANCOUVER, WA98664
 Phone: 360-514-2048
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for BRADY W CORSE · (Male)

NPI # 1275809709
Status Active
Credentials ATC/L
Entity Individual
Enumeration date 03/29/2012
Last updated 03/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 60068895
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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