Bradford, Bart Jerome
Bradford, Bart Jerome is an individual health care provider with primary practice located at 401 Lynn St Ste A , Vidalia LA 71373-3806. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Bradford, Bart Jerome can be contacted via phone (614) 519-1615.Contact Information
Primary practice address
401 Lynn St Ste A
Vidalia LA 71373-3806
Phone: (614) 519-1615
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1831707249 |
|---|---|
| LBN Legal business name | Bradford, Bart Jerome |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2020 |
| Last updated | Jul 22nd, 2020 - about 5 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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