Bradshaw, Alisha R
Bradshaw, Alisha R is an individual health care provider with primary practice located at 4225 Altamont Pl , White Plains MD 20695-3063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bradshaw, Alisha R can be contacted via phone (410) 955-5000.Contact Information
Primary practice address
4225 Altamont Pl
White Plains MD 20695-3063
Phone: (410) 955-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | TL1440 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0005457 | Maryland |
Profile Details
| NPI number | 1073846648 |
|---|---|
| LBN Legal business name | Bradshaw, Alisha R |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2009 |
| Last updated | Feb 26th, 2024 - about 2 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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