Bradford, Carol Corinne

Bradford, Carol Corinne is an sole proprietor health care provider with primary practice located at 106 E 3Rd St Suite 5A, Moscow ID 83843-2970. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bradford, Carol Corinne can be contacted via phone (208) 883-5856.

Contact Information

Primary practice address
106 E 3Rd St Suite 5A Moscow ID 83843-2970
Phone: (208) 883-5856
Fax: (208) 289-5211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 024201MA00015161 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 034956-00 Idaho

Profile Details

NPI number 1962534891
LBN Legal business name Bradford, Carol Corinne
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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