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
Phone: (249) 842-5142
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326540709 | NPPES |
Michigan | Other | 6801085135 | LICENSE |
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