Bradshaw, Joshua Brian

Bradshaw, Joshua Brian is an individual health care provider with primary practice located at 1551 Renaissance Towne Dr Ste 310 , Bountiful UT 84010-7671. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bradshaw, Joshua Brian can be contacted via phone (801) 295-5581.

Contact Information

Primary practice address
1551 Renaissance Towne Dr Ste 310 Bountiful UT 84010-7671
Phone: (801) 295-5581
Fax: (801) 295-9253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 117035791205 Utah

Profile Details

NPI number 1619362779
LBN Legal business name Bradshaw, Joshua Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2015
Last updated Aug 5th, 2020 - about 5 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 1619362779 NPPES
Utah MEDICAID 1619362779

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