Bradshaw, Susan Edith

Bradshaw, Susan Edith is an sole proprietor health care provider with primary practice located at 2395 Lombard St , San Francisco CA 94123-2601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Bradshaw, Susan Edith can be contacted via phone (415) 796-2242.

Contact Information

Primary practice address
2395 Lombard St San Francisco CA 94123-2601
Phone: (415) 796-2242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G43439 California

Profile Details

NPI number 1760465967
LBN Legal business name Bradshaw, Susan Edith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Jul 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760465967 NPPES
California MEDICAID OOG434390

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