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Contact Information

JEANELLE M BRADSHAW, D.C.
602 S KING ST STE 301
LEESBURG, VA20175-3919
 Phone: 703-723-9355
 Fax: 888-792-7952
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JEANELLE M BRADSHAW · (Female)

NPI # 1932422896
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 03/08/2010
Last updated 03/13/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0104556766
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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