Bradford, Tricia

Bradford, Tricia is an individual health care provider with primary practice located at 1253 Eastover Dr , Jackson MS 39211-6315. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Bradford, Tricia can be contacted via phone (601) 984-8036.

Contact Information

Primary practice address
1253 Eastover Dr Jackson MS 39211-6315
Phone: (601) 984-8036
Fax: (601) 984-8030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AO661 Mississippi

Profile Details

NPI number 1629252010
LBN Legal business name Bradford, Tricia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2007
Last updated Dec 21st, 2007 - about 19 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 1629252010 NPPES
Mississippi MEDICAID 00076026

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