Bradford, John Additon

Bradford, John Additon is an individual health care provider with primary practice located at 925 Union St Ste 3 , Bangor ME 04401-3051. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bradford, John Additon can be contacted via phone (207) 973-9980.

Contact Information

Primary practice address
925 Union St Ste 3 Bangor ME 04401-3051
Phone: (207) 973-9980
Fax: (207) 973-7515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 011526 Maine

Profile Details

NPI number 1093791964
LBN Legal business name Bradford, John Additon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jan 29th, 2014 - about 11 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 1093791964 NPPES
Maine Other D03693 HARVARD PILGRIM
Maine Other M57740 HARVARD PILGRIM
Maine Other 1044474 HARVARD PILGRIM
Maine Other 002921 HARVARD PILGRIM
Maine Other 100289800 HARVARD PILGRIM
Maine MEDICAID 116170000 HARVARD PILGRIM
Maine Other 200002275 HARVARD PILGRIM

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