Bradshaw, Louise

Bradshaw, Louise is an individual health care provider with primary practice located at 4024A Old Tar Rd , Winterville NC 28590-8430. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bradshaw, Louise can be contacted via phone (252) 355-3773.

Contact Information

Primary practice address
4024A Old Tar Rd Winterville NC 28590-8430
Phone: (252) 355-3773
Fax: (252) 355-1958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00-32643 North Carolina

Profile Details

NPI number 1831127877
LBN Legal business name Bradshaw, Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Apr 21st, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831127877 NPPES
North Carolina Other P00042858 RR MEDICARE
North Carolina Other 17653 RR MEDICARE
North Carolina MEDICAID 8917653 RR MEDICARE

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