Bradford, Mark W
Bradford, Mark W is an sole proprietor health care provider with primary practice located at 3624 Ensign Rd Ne Ste D , Olympia WA 98506-5074. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bradford, Mark W can be contacted via phone (360) 459-7713.Contact Information
Primary practice address
3624 Ensign Rd Ne Ste D
Olympia WA 98506-5074
Phone: (360) 459-7713
Fax: (360) 459-5441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1548335938 |
|---|---|
| LBN Legal business name | Bradford, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Dec 21st, 2011 - about 15 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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