Bradham, Sara Rose
Bradham, Sara Rose is an sole proprietor health care provider with primary practice located at 3 Doctor Cir , Longview TX 75605-5050. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bradham, Sara Rose can be contacted via phone (903) 757-2495.Contact Information
Primary practice address
3 Doctor Cir
Longview TX 75605-5050
Phone: (903) 757-2495
Fax: (903) 757-3707
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 35531 | Texas |
Profile Details
NPI number | 1316592330 |
---|---|
LBN Legal business name | Bradham, Sara Rose |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 6th, 2019 |
Last updated | Jun 1st, 2023 - about last year |
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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