Barlow, Bradley Shane
Barlow, Bradley Shane is an individual health care provider with primary practice located at 602 N Calgary Ct Suite 201, Post Falls ID 83854-4000. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Barlow, Bradley Shane can be contacted via phone (208) 777-9331.Contact Information
Primary practice address
602 N Calgary Ct Suite 201
Post Falls ID 83854-4000
Phone: (208) 777-9331
Fax: (208) 777-9335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D-3781 | Idaho |
Profile Details
| NPI number | 1346268208 |
|---|---|
| LBN Legal business name | Barlow, Bradley Shane |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Aug 28th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346268208 | NPPES |
| Idaho | MEDICAID | 806893400 |
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