Bradshaw, Margie Dianne

Bradshaw, Margie Dianne is an sole proprietor health care provider with primary practice located at 823 Jeff Goodwin St , Brandon MS 39042-8763. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bradshaw, Margie Dianne can be contacted via phone (601) 825-7945.

Contact Information

Primary practice address
823 Jeff Goodwin St Brandon MS 39042-8763
Phone: (601) 825-7945
Fax: (601) 825-7945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X P260448 Mississippi

Profile Details

NPI number 1225186372
LBN Legal business name Bradshaw, Margie Dianne
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
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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