Bradshaw, Mark Standridge
Bradshaw, Mark Standridge is an individual health care provider with primary practice located at 710 Falls Blvd S , Wynne AR 72396-3514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bradshaw, Mark Standridge can be contacted via phone (870) 238-2321.Contact Information
Primary practice address
710 Falls Blvd S
Wynne AR 72396-3514
Phone: (870) 238-2321
Fax: (870) 238-0114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-4753 | Arkansas |
Profile Details
| NPI number | 1346355518 |
|---|---|
| LBN Legal business name | Bradshaw, Mark Standridge |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Mar 29th, 2012 - about 14 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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