Dickerson Bradley, Latifa

Dickerson Bradley, Latifa is an sole proprietor health care provider with primary practice located at 25201 Chagrin Blvd Ste 390 , Beachwood OH 44122-5637. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Dickerson Bradley, Latifa can be contacted via phone (216) 910-9015.

Contact Information

Primary practice address
25201 Chagrin Blvd Ste 390 Beachwood OH 44122-5637
Fax: (216) 910-9015
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Ohio

Profile Details

NPI number 1225654205
LBN Legal business name Dickerson Bradley, Latifa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2020
Last updated Jun 24th, 2020 - about 4 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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