Bradshaw, David R
Bradshaw, David R is an individual health care provider with primary practice located at 14569 Grand Ave Suite 200, Burnsville MN 55306-5729. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bradshaw, David R can be contacted via phone (952) 892-7690.Contact Information
Primary practice address
14569 Grand Ave Suite 200
Burnsville MN 55306-5729
Phone: (952) 892-7690
Fax: (952) 898-4930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP3945 | Minnesota |
Profile Details
| NPI number | 1093890782 |
|---|---|
| LBN Legal business name | Bradshaw, David R |
| Credentials | MED, LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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