Bradshaw, Pamela

Bradshaw, Pamela is an individual health care provider with primary practice located at 800 M-139 , Benton Harbor MI 49022-4843. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Bradshaw, Pamela can be contacted via phone (269) 927-5400.

Contact Information

Primary practice address
800 M-139 Benton Harbor MI 49022-4843
Phone: (269) 927-5400
Fax: (269) 927-5493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704101513 Michigan

Profile Details

NPI number 1588638886
LBN Legal business name Bradshaw, Pamela
Credentials CN-P
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588638886 NPPES
Michigan MEDICAID 469823010

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