Bradshaw, Jacob Alexander

Bradshaw, Jacob Alexander is an sole proprietor health care provider with primary practice located at 1104 Columbia Court , Edmond OK 73003. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Bradshaw, Jacob Alexander can be contacted via phone (405) 240-7003.

Contact Information

Primary practice address
1104 Columbia Court Edmond OK 73003
Phone: (405) 240-7003
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1013296177
LBN Legal business name Bradshaw, Jacob Alexander
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2011
Last updated Aug 8th, 2011 - about 14 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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