MRS. ETHEL RUTH BRADSHAW NPI 1750618948

NPI Information

NPI: 1750618948
Provider Name: MRS. ETHEL RUTH BRADSHAW
Classification: Orthotic Fitter - 225000000X
Entity Type: Individual
Address:
1892 WEST MEMORIAL HWY
UNION GROVE, NC
ZIP 28689
Phone: (704) 539-4445
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MRS. Ethel Ruth Bradshaw is an orthotic fitter in Union Grove, NC. The provider is an individual trained in the management of fitting prefabricated orthoses. MRS. Ethel Ruth Bradshaw NPI is 1750618948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1892 WEST MEMORIAL HWY
UNION GROVE, NC
ZIP 28689-049
Phone: (704) 539-4445
Fax: (704) 539-4663

The enumeration date for this NPI number is 11/9/2009 and was last updated on 11/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225000000X	Orthotic Fitter				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7703861	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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