Bradshaw, David R
Bradshaw, David R is an individual health care provider with primary practice located at 1892 West Memorial Hwy. , Union Grove NC 28689-9049. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as his primary health care specialty. Bradshaw, David R can be contacted via phone (704) 539-4445.Contact Information
Primary practice address
1892 West Memorial Hwy.
Union Grove NC 28689-9049
Phone: (704) 539-4445
Fax: (704) 539-4663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter | 225000000X |
Profile Details
| NPI number | 1740517937 |
|---|---|
| LBN Legal business name | Bradshaw, David R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2009 |
| Last updated | Nov 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740517937 | NPPES |
| North Carolina | MEDICAID | 7703861 |
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