Bradford, Regina
Bradford, Regina is an individual health care provider with primary practice located at 351 W 79Th St , Shreveport LA 71106-4819. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Bradford, Regina can be contacted via phone (318) 688-8190.Contact Information
Primary practice address
351 W 79Th St
Shreveport LA 71106-4819
Phone: (318) 688-8190
Fax: (318) 688-8193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1235650466 |
|---|---|
| LBN Legal business name | Bradford, Regina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 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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