Bradford, Joshua

Bradford, Joshua is an individual health care provider with primary practice located at 707 Chestnut St , South Charleston WV 25309-2003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bradford, Joshua can be contacted via phone (304) 768-8500.

Contact Information

Primary practice address
707 Chestnut St South Charleston WV 25309-2003
Phone: (304) 768-8500
Fax: (304) 768-8530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2241 West Virginia

Profile Details

NPI number 1689899510
LBN Legal business name Bradford, Joshua
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Nov 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689899510 NPPES
West Virginia MEDICAID 3810016359

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