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Contact Information

SUZANNE M BRADFORD, LAC
3201 1ST AVE
SAN DIEGO, CA92103-5605
 Phone: 619-240-1390
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for SUZANNE M BRADFORD · (Female)

NPI # 1346705811
Status Active
Credentials LAC
Entity Individual
Enumeration date 02/08/2019
Last updated 06/11/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 16725
  • CA Other 1295108314 BLUE SHIELD
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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