Michael Bradshaw
Michael Bradshaw is a Supports Brokerage Agency in Altoona, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1548 Walton AveAltoona, PA 16602-4617
Phone: (412) 514-2394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Supports Brokerage Agency (primary) | Taxonomy 251X00000X |
|---|
Record details
| NPI number | 1619747334 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 3, 2024 |
| Last updated in NPPES | January 3, 2024 |
| Certification date | January 3, 2024 |
| Mailing address | 1548 Walton Ave, Altoona, PA 16602-4617 |