Bradshaw, Steven Mark
Bradshaw, Steven Mark is an sole proprietor health care provider with primary practice located at 310 W 10Th St Ne , Rome GA 30165-2639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bradshaw, Steven Mark can be contacted via phone (706) 235-6539.Contact Information
Primary practice address
310 W 10Th St Ne
Rome GA 30165-2639
Phone: (706) 235-6539
Fax: (706) 235-6541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 045408 | Georgia |
Profile Details
| NPI number | 1134130156 |
|---|---|
| LBN Legal business name | Bradshaw, Steven Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Feb 7th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134130156 | NPPES |
| Georgia | MEDICAID | 000793537C |
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