Bradley, Laura E

Bradley, Laura E is an individual health care provider with primary practice located at 1540 Spring Valley Dr , Huntington WV 25704-9300. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bradley, Laura E can be contacted via phone (606) 922-2316.

Contact Information

Primary practice address
1540 Spring Valley Dr Huntington WV 25704-9300
Phone: (606) 922-2316
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA456 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA456 Kentucky

Profile Details

NPI number 1548200843
LBN Legal business name Bradley, Laura E
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 8th, 2010 - about 14 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 1548200843 NPPES
Kentucky MEDICAID 95001376

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