Bradshaw, Bradley
Bradshaw, Bradley is an sole proprietor health care provider with primary practice located at 1904 S Shady Hill Ln , Springfield MO 65809-2601. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bradshaw, Bradley can be contacted via phone (417) 860-9044.Contact Information
Primary practice address
1904 S Shady Hill Ln
Springfield MO 65809-2601
Phone: (417) 860-9044
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | R5G73 | Missouri |
Profile Details
| NPI number | 1972747574 |
|---|---|
| LBN Legal business name | Bradshaw, Bradley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2009 |
| Last updated | Apr 27th, 2009 - about 17 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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