Barlow, Bradley Shane

Barlow, Bradley Shane is an individual health care provider with primary practice located at 602 N Calgary Ct Suite 201, Post Falls ID 83854-4000. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Barlow, Bradley Shane can be contacted via phone (208) 777-9331.

Contact Information

Primary practice address
602 N Calgary Ct Suite 201 Post Falls ID 83854-4000
Phone: (208) 777-9331
Fax: (208) 777-9335
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X D-3781 Idaho

Profile Details

NPI number 1346268208
LBN Legal business name Barlow, Bradley Shane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Aug 28th, 2012 - about 13 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 1346268208 NPPES
Idaho MEDICAID 806893400

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