Bradshaw, Douglas Mark

Bradshaw, Douglas Mark is an sole proprietor health care provider with primary practice located at 1733 Erickson Avenue , Harrisonburg VA 22801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bradshaw, Douglas Mark can be contacted via phone (540) 433-1530.

Contact Information

Primary practice address
1733 Erickson Avenue Harrisonburg VA 22801
Phone: (540) 433-1530
Fax: (540) 433-3941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101035633 Virginia

Profile Details

NPI number 1952333072
LBN Legal business name Bradshaw, Douglas Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Oct 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952333072 NPPES
Other 215233 MAMSI
Other 279087 MAMSI
MEDICAID 5699266 MAMSI
Other 001258 MAMSI
Other 144274 MAMSI
Other 2115954289202 MAMSI

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