Bradford, Daniel S

Bradford, Daniel S is an individual health care provider with primary practice located at 808 S 52Nd St , Rogers AR 72758-8602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bradford, Daniel S can be contacted via phone (479) 936-9900.

Contact Information

Primary practice address
808 S 52Nd St Rogers AR 72758-8602
Phone: (479) 936-9900
Fax: (479) 587-1366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X C6376 Arkansas

Profile Details

NPI number 1033180229
LBN Legal business name Bradford, Daniel S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Mar 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033180229 NPPES
Arkansas MEDICAID 113914001
Arkansas MEDICAID 203802103
Arkansas MEDICAID 100080660A

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