Antonides, Bradley Joline

Antonides, Bradley Joline is an individual health care provider with primary practice located at 1585 3Rd St , Fort Polk LA 71459-5102. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Antonides, Bradley Joline can be contacted via phone (337) 531-6140.

Contact Information

Primary practice address
1585 3Rd St Fort Polk LA 71459-5102
Phone: (337) 531-6140
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY60633804 Washington

Profile Details

NPI number 1235561093
LBN Legal business name Antonides, Bradley Joline
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2013
Last updated Feb 21st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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