Bradford, De'Shauris Nelson
Bradford, De'Shauris Nelson is an individual health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bradford, De'Shauris Nelson can be contacted via phone (631) 686-2549.Contact Information
Primary practice address
75 N Country Rd
Port Jefferson NY 11777-2119
Phone: (631) 686-2549
Fax: (631) 686-7651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 310770 | Louisiana |
Profile Details
| NPI number | 1942688841 |
|---|---|
| LBN Legal business name | Bradford, De'Shauris Nelson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2015 |
| Last updated | Apr 20th, 2021 - about 3 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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