Bradley, Judith Lynn
Bradley, Judith Lynn is an individual health care provider with primary practice located at 1020 Adams St , Laurel MS 39440-4365. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Bradley, Judith Lynn can be contacted via phone (601) 426-9454.Contact Information
Primary practice address
1020 Adams St
Laurel MS 39440-4365
Phone: (601) 426-9454
Fax: (601) 426-9476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 11338 | Mississippi |
Profile Details
| NPI number | 1457466690 |
|---|---|
| LBN Legal business name | Bradley, Judith Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1457466690 | NPPES |
| Mississippi | MEDICAID | 0015203 |
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