Mark W Bradford Md Inc Ps
LBN: Mark W Bradford Md Inc Ps
Mark W Bradford Md Inc Ps is an health care organization with primary practice located at 3624 Ensign Rd Ne Ste D , Olympia WA 98506-5074. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Mark W Bradford Md Inc Ps can be contacted via phone (360) 459-7713, or through Bradford, Mark Wayne via phone (360) 459-7713.
Contact Information
Primary practice address
3624 Ensign Rd Ne Ste D
Olympia WA 98506-5074
Phone: (360) 459-7713
Fax: (360) 459-5441
Website:
Authorized official contact:
Name: Bradford, Mark Wayne Doctor of Medicine (MD)
Phone: (360) 459-7713
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | MD0019897 | Washington |
Profile Details
| NPI number | 1619241346 |
|---|---|
| LBN Legal business name | Mark W Bradford Md Inc Ps |
| DBA Doing business as | |
| Authorized official | Bradford, Mark Wayne Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2012 |
| Last updated | Feb 27th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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