Bradford, Simone

Bradford, Simone is an sole proprietor health care provider with primary practice located at 5311 Huron Hills Dr , Commerce Township MI 48382-1292. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bradford, Simone can be contacted via phone (249) 842-5142.

Contact Information

Primary practice address
5311 Huron Hills Dr Commerce Township MI 48382-1292
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1326540709
LBN Legal business name Bradford, Simone
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2018
Last updated Mar 1st, 2018 - about 7 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 1326540709 NPPES
Michigan Other 6801085135 LICENSE

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