Shields, Bradley Keith

Shields, Bradley Keith is an individual health care provider with primary practice located at 128 Earl Clark Dr , Florence MS 39073-6604. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Shields, Bradley Keith can be contacted via phone (601) 891-8465.

Contact Information

Primary practice address
128 Earl Clark Dr Florence MS 39073-6604
Phone: (601) 891-8465
Fax: (601) 891-8468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 903096 Mississippi

Profile Details

NPI number 1073086005
LBN Legal business name Shields, Bradley Keith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2019
Last updated Jan 2nd, 2019 - about 6 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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