Holden, Bradley Jackson

Holden, Bradley Jackson is an individual health care provider with primary practice located at 1411 E 31St Street Oak Care Med Grp, Oakland CA 94602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Holden, Bradley Jackson can be contacted via phone (510) 437-4323.

Contact Information

Primary practice address
1411 E 31St Street Oak Care Med Grp Oakland CA 94602
Phone: (510) 437-4323
Fax: (510) 437-5042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X G62352 California

Profile Details

NPI number 1144230707
LBN Legal business name Holden, Bradley Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Mar 9th, 2012 - 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 1144230707 NPPES
California MEDICAID 00G623520

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