Bradshaw, Joyce
Bradshaw, Joyce is an sole proprietor health care provider with primary practice located at 1401 River Rd , Greenwood MS 38930-4030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Bradshaw, Joyce can be contacted via phone (601) 636-0097.Contact Information
Primary practice address
1401 River Rd
Greenwood MS 38930-4030
Phone: (601) 636-0097
Fax: (601) 629-9969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 09744 | Mississippi |
Profile Details
| NPI number | 1073661344 |
|---|---|
| LBN Legal business name | Bradshaw, Joyce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Mar 31st, 2008 - about 17 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 | 1073661344 | NPPES |
| Mississippi | MEDICAID | 00123284 |
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