Base, Bradley W.
Base, Bradley W. is an individual health care provider with primary practice located at 2365 W Central Ave , El Dorado KS 67042-3208. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Base, Bradley W. can be contacted via phone (316) 321-6036.Contact Information
Primary practice address
2365 W Central Ave
El Dorado KS 67042-3208
Phone: (316) 321-6036
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1129 | Kansas |
Profile Details
| NPI number | 1710944905 |
|---|---|
| LBN Legal business name | Base, Bradley W. |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Sep 26th, 2007 - about 17 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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