Bradshaw, Amanda M
Bradshaw, Amanda M is an individual health care provider with primary practice located at 4800 Sand Point Way Ne , Seattle WA 98105-3901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bradshaw, Amanda M can be contacted via phone (205) 987-2521.Contact Information
Primary practice address
4800 Sand Point Way Ne
Seattle WA 98105-3901
Phone: (205) 987-2521
Fax: (206) 987-2721
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA60137841 | Washington |
Profile Details
NPI number | 1336380492 |
---|---|
LBN Legal business name | Bradshaw, Amanda M |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 18th, 2009 |
Last updated | Oct 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336380492 | NPPES |
Washington | Other | PA60137841 | STATE LICENSE |
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