Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | B01391 | NV |
N | 175L00000X | Homeopath | A-31007 | NV |
NPI | 1720299472 |
---|---|
Provider Name | Daniel P Brady |
First Address | Reno, NV 89503-4538 |
Second Address | Reno, NV 89502-4113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 30/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V109758 | (02) | NV |