Bradshaw, David C

Bradshaw, David C is an individual health care provider with primary practice located at 19830 Lake Chabot Rd Ste C, Castro Valley CA 94546-4063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bradshaw, David C can be contacted via phone (510) 537-7873.

Contact Information

Primary practice address
19830 Lake Chabot Rd Ste C Castro Valley CA 94546-4063
Phone: (510) 537-7873
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X C385990 California

Profile Details

NPI number 1811990468
LBN Legal business name Bradshaw, David C
Credentials MD PC
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Feb 27th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811990468 NPPES
California MEDICAID 00C385990

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