Healthcare Provider Details
I. General information
NPI: 1619903911
Provider Name (Legal Business Name): BRADEN PARTNERS, L.P.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2006
Last Update Date: 01/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2961 STATE HIGHWAY 32 SUITE 18
CHICO CA
95973-8653
US
IV. Provider business mailing address
5060 CALIFORNIA AVE STE 310
BAKERSFIELD CA
93309-0728
US
V. Phone/Fax
- Phone: 530-342-1000
- Fax: 530-342-1066
- Phone: 661-665-6040
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YEHOSHUA
PARNES
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 856-437-7264