National Provider Identifier Database

JEREMIAH BRADSHAW
Private Vehicle

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.


Contact Information

JEREMIAH BRADSHAW
48 WESTMINSTER AVE APT 5
VENICE, CA90291-3660
Phone: 323-627-7243
Fax:
Website:
Specialty Taxonomy Code
* Private Vehicle 347C00000X
Taxi 344600000X

* Indicates primary specialty

NPI Profile & details for JEREMIAH BRADSHAW

NPI Number 1144863721
Credentials
Entity Individual
Enumeration date 10/25/2019
Last updated 10/25/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

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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