Townsend, Bradley Mark
Townsend, Bradley Mark is an sole proprietor health care provider with primary practice located at 1413 South Second Street , Clinton MO 64735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Townsend, Bradley Mark can be contacted via phone (660) 885-7776.Contact Information
Primary practice address
1413 South Second Street
Clinton MO 64735
Phone: (660) 885-7776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R8F34 | Missouri |
Profile Details
| NPI number | 1033205521 |
|---|---|
| LBN Legal business name | Townsend, Bradley Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033205521 | NPPES |
| Missouri | MEDICAID | 202555629 |
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