Bradshaw, Kristin Ann Brooks

Bradshaw, Kristin Ann Brooks is an individual health care provider with primary practice located at 1327 Kalakaket Street , Fairbanks AK 99709. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bradshaw, Kristin Ann Brooks can be contacted via phone (907) 452-4517.

Contact Information

Primary practice address
1327 Kalakaket Street Fairbanks AK 99709
Phone: (907) 452-4517
Fax: (907) 452-4263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1052 Alaska

Profile Details

NPI number 1962479345
LBN Legal business name Bradshaw, Kristin Ann Brooks
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1962479345 NPPES
Other A002 TRICARE
MEDICAID OT8545 TRICARE

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