Bradstreet, Janet M

Bradstreet, Janet M is an sole proprietor health care provider with primary practice located at 1845 Holsonback Dr , Daytona Beach FL 32117-5114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Bradstreet, Janet M can be contacted via phone (386) 274-0500.

Contact Information

Primary practice address
1845 Holsonback Dr Daytona Beach FL 32117-5114
Phone: (386) 274-0500
Fax: (386) 274-0860
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X ARNP 9273875 Florida

Profile Details

NPI number 1497008643
LBN Legal business name Bradstreet, Janet M
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2012
Last updated Jan 17th, 2013 - about 12 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 1497008643 NPPES
Florida MEDICAID 007285900

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