Bradford, Jennifer Therese

Bradford, Jennifer Therese is an individual health care provider with primary practice located at 10623 Crestwood Dr , Manassas VA 20109-3433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bradford, Jennifer Therese can be contacted via phone (703) 361-7131.

Contact Information

Primary practice address
10623 Crestwood Dr Manassas VA 20109-3433
Phone: (703) 361-7131
Fax: (703) 330-2065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X BP10042728 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0102203986 Virginia

Profile Details

NPI number 1073868261
LBN Legal business name Bradford, Jennifer Therese
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2012
Last updated Jan 27th, 2016 - about 10 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.

Request for update

Popular Providers