Bradford, Jewell Douglas

Bradford, Jewell Douglas is an individual health care provider with primary practice located at 1363 W Spruce Ave , Wasilla AK 99654-5327. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Bradford, Jewell Douglas can be contacted via phone (907) 376-2411.

Contact Information

Primary practice address
1363 W Spruce Ave Wasilla AK 99654-5327
Phone: (907) 376-2411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1063136570
LBN Legal business name Bradford, Jewell Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2022
Last updated Sep 28th, 2022 - 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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