Bradshaw, Bradley

Bradshaw, Bradley is an sole proprietor health care provider with primary practice located at 1904 S Shady Hill Ln , Springfield MO 65809-2601. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bradshaw, Bradley can be contacted via phone (417) 860-9044.

Contact Information

Primary practice address
1904 S Shady Hill Ln Springfield MO 65809-2601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X R5G73 Missouri

Profile Details

NPI number 1972747574
LBN Legal business name Bradshaw, Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2009
Last updated Apr 27th, 2009 - about 15 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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