Shingleton, Bradford J
Shingleton, Bradford J is an individual health care provider with primary practice located at 50 Staniford St Suite 600, Boston MA 02114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Shingleton, Bradford J can be contacted via phone (617) 367-4800.Contact Information
Primary practice address
50 Staniford St Suite 600
Boston MA 02114
Phone: (617) 367-4800
Fax: (617) 723-7028
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 42939 | Massachusetts |
Profile Details
NPI number | 1902879075 |
---|---|
LBN Legal business name | Shingleton, Bradford J |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2006 |
Last updated | Dec 20th, 2021 - about 3 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 | 1902879075 | NPPES |
Massachusetts | MEDICAID | 0149608 | |
Massachusetts | Other | E05556 | |
Massachusetts | MEDICAID | 110004100A | |
Massachusetts | Other | 042939 |
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