Bradford, Letitia L
Bradford, Letitia L is an individual health care provider with primary practice located at 1901 Red Rock Dr , Gallup NM 87301-5683. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Bradford, Letitia L can be contacted via phone (505) 863-7309.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A70194 | California |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | LT-2827 | New Hampshire |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 14581 | New Hampshire |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD2020-0288 | New Mexico |
Profile Details
| NPI number | 1194740217 |
|---|---|
| LBN Legal business name | Bradford, Letitia L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Feb 25th, 2025 - about last year |
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 | 1194740217 | NPPES |
| California | MEDICAID | 00A701940 | |
| California | MEDICAID | 08754331 | |
| California | MEDICAID | 30208936 |
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