Bradshaw, Arlogia Melody
Bradshaw, Arlogia Melody is an sole proprietor health care provider with primary practice located at 4141 Mayfield Rd , South Euclid OH 44121-3041. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bradshaw, Arlogia Melody can be contacted via phone (216) 321-9630.Contact Information
Primary practice address
4141 Mayfield Rd
South Euclid OH 44121-3041
Phone: (216) 321-9630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3776T1005 | Ohio |
Profile Details
| NPI number | 1124182753 |
|---|---|
| LBN Legal business name | Bradshaw, Arlogia Melody |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Aug 4th, 2011 - about 13 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 | 1124182753 | NPPES |
| Ohio | MEDICAID | 0611127 | |
| Ohio | Other | 2163219630 |
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