Shaw, Bradley
Shaw, Bradley is an sole proprietor health care provider with primary practice located at 3708 Robinwood Cir , Bryant AR 72022-8374. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Shaw, Bradley can be contacted via phone (501) 993-5465.Contact Information
Primary practice address
3708 Robinwood Cir
Bryant AR 72022-8374
Phone: (501) 993-5465
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P0002005 | Arkansas |
Profile Details
| NPI number | 1104229871 |
|---|---|
| LBN Legal business name | Shaw, Bradley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 8th, 2014 |
| Last updated | Oct 8th, 2014 - about 12 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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