Bradford, Gustavia
Bradford, Gustavia is an sole proprietor health care provider with primary practice located at 6240 Belcher Oil City Rd , Belcher LA 71004-7100. She recently has only one registered license in Transportation Services / Bus, which is considered as her primary health care specialty. Bradford, Gustavia can be contacted via phone (318) 426-6976.Contact Information
Primary practice address
6240 Belcher Oil City Rd
Belcher LA 71004-7100
Phone: (318) 426-6976
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Bus | 347B00000X | 005971290 | Louisiana |
Profile Details
| NPI number | 1669047601 |
|---|---|
| LBN Legal business name | Bradford, Gustavia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2021 |
| Last updated | May 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669047601 | NPPES |
| Louisiana | MEDICAID | 86-3750549 |
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