Bradford, Michelle
Bradford, Michelle is an individual health care provider with primary practice located at 7000 Austin St Ste 202 , Forest Hills NY 11375-1022. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as her primary health care specialty. Bradford, Michelle can be contacted via phone (631) 385-7780.Contact Information
Primary practice address
7000 Austin St Ste 202
Forest Hills NY 11375-1022
Phone: (631) 385-7780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other | 246Z00000X |
Profile Details
| NPI number | 1295264018 |
|---|---|
| LBN Legal business name | Bradford, Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2017 |
| Last updated | Jun 6th, 2017 - about 9 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 | 1295264018 | NPPES |
| New York | Other | 930586655 | GHI |
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