Baisden, Bradford Chandler
Baisden, Bradford Chandler is an individual health care provider with primary practice located at 823 Park East Blvd Ste B , Lafayette IN 47905-0811. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Baisden, Bradford Chandler can be contacted via phone (765) 297-0975.Contact Information
Primary practice address
823 Park East Blvd Ste B
Lafayette IN 47905-0811
Phone: (765) 297-0975
Fax: (765) 297-0974
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 10165 | North Carolina |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05011714A | Indiana |
Profile Details
NPI number | 1659305092 |
---|---|
LBN Legal business name | Baisden, Bradford Chandler |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 10th, 2006 |
Last updated | Nov 14th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659305092 | NPPES |
North Carolina | Other | 079XN | BCBS PROVIDER NUMBER |
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