Bradshaw, J. Colton

Bradshaw, J. Colton is an individual health care provider with primary practice located at 2001 N Jefferson Ave Suite 300, Mount Pleasant TX 75455-2371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bradshaw, J. Colton can be contacted via phone (903) 572-9823.

Contact Information

Primary practice address
2001 N Jefferson Ave Suite 300 Mount Pleasant TX 75455-2371
Phone: (903) 572-9823
Fax: (903) 572-4812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X F8808 Texas

Profile Details

NPI number 1902893019
LBN Legal business name Bradshaw, J. Colton
Credentials M.D.11/11/1952
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jan 17th, 2013 - about 11 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 1902893019 NPPES
Texas MEDICAID 130955102

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