Bradley, Jeffrey Shane

Bradley, Jeffrey Shane is an individual health care provider with primary practice located at 530 E 34Th St , Joplin MO 64804-3926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bradley, Jeffrey Shane can be contacted via phone (417) 347-7630.

Contact Information

Primary practice address
530 E 34Th St Joplin MO 64804-3926
Phone: (417) 347-7630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2006013527 Missouri

Profile Details

NPI number 1891807285
LBN Legal business name Bradley, Jeffrey Shane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 13th, 2019 - about 5 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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