Bradway, Kathleen E
Bradway, Kathleen E is an individual health care provider with primary practice located at 1262 Dix Ave , Hudson Falls NY 12839-9618. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bradway, Kathleen E can be contacted via phone (518) 747-0292.Contact Information
Primary practice address
1262 Dix Ave
Hudson Falls NY 12839-9618
Phone: (518) 747-0292
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 049170 | New York |
Profile Details
| NPI number | 1730369364 |
|---|---|
| LBN Legal business name | Bradway, Kathleen E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2007 |
| Last updated | Nov 15th, 2007 - 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 | 1730369364 | NPPES |
| New York | MEDICAID | 049170 |
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