Bradley, Shauna S
Bradley, Shauna S is an sole proprietor health care provider with primary practice located at 2078 Prospector Ave , Park City UT 84060-7321. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bradley, Shauna S can be contacted via phone (435) 645-7097.Contact Information
Primary practice address
2078 Prospector Ave
Park City UT 84060-7321
Phone: (435) 645-7097
Fax: (435) 783-4243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 121919-3501 | Utah |
Profile Details
| NPI number | 1992736656 |
|---|---|
| LBN Legal business name | Bradley, Shauna S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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