Bradshaw, Debra
Bradshaw, Debra is an individual health care provider with primary practice located at 14315 South 108Th Ave. Suite 215, Orland Park IL 60467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bradshaw, Debra can be contacted via phone (708) 966-0993.Contact Information
Primary practice address
14315 South 108Th Ave. Suite 215
Orland Park IL 60467
Phone: (708) 966-0993
Fax: (708) 966-0997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209013472 | Illinois |
Profile Details
| NPI number | 1902354319 |
|---|---|
| LBN Legal business name | Bradshaw, Debra |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2016 |
| Last updated | Nov 22nd, 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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