Bradshaw, Angela R.

Bradshaw, Angela R. is an individual health care provider with primary practice located at 1298 Hillcrest Dr , Piggott AR 72454-3121. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Bradshaw, Angela R. can be contacted via phone (870) 598-3049.

Contact Information

Primary practice address
1298 Hillcrest Dr Piggott AR 72454-3121
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SP1632 Arkansas

Profile Details

NPI number 1508827031
LBN Legal business name Bradshaw, Angela R.
Credentials MCD,CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508827031 NPPES
Arkansas Other 5W969 BLUECROSS BLUE SHIELD

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