Craft, William Bradley

Craft, William Bradley is an individual health care provider with primary practice located at 940 Royal Ave Suite 420, Medford OR 97504-6193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Craft, William Bradley can be contacted via phone (541) 732-8388.

Contact Information

Primary practice address
940 Royal Ave Suite 420 Medford OR 97504-6193
Phone: (541) 732-8388
Fax: (541) 618-9089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD22870 Oregon

Profile Details

NPI number 1689760506
LBN Legal business name Craft, William Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Oct 8th, 2021 - about 5 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 1689760506 NPPES
Oregon MEDICAID 287611

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