Bradley, Lavora Dawn

Bradley, Lavora Dawn is an sole proprietor health care provider with primary practice located at 1305 Maple Ave , Elmira NY 14904-3045. She recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as her primary health care specialty. Bradley, Lavora Dawn can be contacted via phone (607) 259-2800.

Contact Information

Primary practice address
1305 Maple Ave Elmira NY 14904-3045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1497365977
LBN Legal business name Bradley, Lavora Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2020
Last updated Aug 9th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497365977 NPPES
Texas Other 15433672 ID

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