Bradford, Cynthia E

Bradford, Cynthia E is an individual health care provider with primary practice located at 65 Messimer Dr , Newark OH 43055-1874. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bradford, Cynthia E can be contacted via phone (740) 522-8477.

Contact Information

Primary practice address
65 Messimer Dr Newark OH 43055-1874
Fax: (740) 788-3424
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ICDC.976061 Ohio

Profile Details

NPI number 1578821682
LBN Legal business name Bradford, Cynthia E
Credentials LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2012
Last updated Apr 26th, 2012 - about 12 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 1578821682 NPPES
Ohio MEDICAID 2485734

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