Bishop, Brandon

Bishop, Brandon is an sole proprietor health care provider with primary practice located at 635 S Main St , Leitchfield KY 42754-1056. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Bishop, Brandon can be contacted via phone (270) 352-1133.

Contact Information

Primary practice address
635 S Main St Leitchfield KY 42754-1056
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-92006 Kentucky

Profile Details

NPI number 1952953879
LBN Legal business name Bishop, Brandon
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2019
Last updated Jul 11th, 2019 - about 6 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 1952953879 NPPES
Kentucky MEDICAID RBT-19-92006

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