Bradford, Christina M

Bradford, Christina M is an individual health care provider with primary practice located at 1740 E Broad St , Hazleton PA 18201-5667. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bradford, Christina M can be contacted via phone (570) 459-2901.

Contact Information

Primary practice address
1740 E Broad St Hazleton PA 18201-5667
Fax: (570) 459-6090
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP009326 Pennsylvania

Profile Details

NPI number 1417093097
LBN Legal business name Bradford, Christina M
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 30th, 2020 - about 4 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 1417093097 NPPES
Pennsylvania Other 541284 COVENTRY
Pennsylvania Other 50068145 COVENTRY
Pennsylvania Other BR1948359 COVENTRY
Pennsylvania MEDICAID 1018302700001 COVENTRY

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