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:
Health care specialties
Specialty | Code | License # | 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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