Larosa, Bradley

Larosa, Bradley is an individual health care provider with primary practice located at 955 E Trafficway St , Springfield MO 65802-3671. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Larosa, Bradley can be contacted via phone (618) 830-7511.

Contact Information

Primary practice address
955 E Trafficway St Springfield MO 65802-3671
Phone: (618) 830-7511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 20003027559 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 96001870 Illinois

Profile Details

NPI number 1295799351
LBN Legal business name Larosa, Bradley
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 8th, 2007 - about 18 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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