Bradford, William R
Bradford, William R is an sole proprietor health care provider with primary practice located at 3 Audubon Plaza Dr Ste 230 , Louisville KY 40217-1319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bradford, William R can be contacted via phone (502) 636-0574.Contact Information
Primary practice address
3 Audubon Plaza Dr Ste 230
Louisville KY 40217-1319
Phone: (502) 636-0574
Fax: (502) 636-0579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 21976 | Kentucky |
Profile Details
| NPI number | 1659488724 |
|---|---|
| LBN Legal business name | Bradford, William R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jan 12th, 2021 - about 4 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 | 1659488724 | NPPES |
| Kentucky | MEDICAID | 64219769 |
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