Bradford, Drew Porter
Bradford, Drew Porter is an sole proprietor health care provider with primary practice located at 25747 Butternut Ridge Rd , North Olmsted OH 44070-4507. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Bradford, Drew Porter can be contacted via phone (440) 759-5228.Contact Information
Primary practice address
25747 Butternut Ridge Rd
North Olmsted OH 44070-4507
Phone: (440) 759-5228
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 374U00000X | Ohio |
Profile Details
| NPI number | 1336308261 |
|---|---|
| LBN Legal business name | Bradford, Drew Porter |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2008 |
| Last updated | Jun 5th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336308261 | NPPES |
| Ohio | MEDICAID | 2402635 |
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