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
Fax: (765) 297-0974
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659305092 NPPES
North Carolina Other 079XN BCBS PROVIDER NUMBER

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