Bradbury, Lorin Leslie
Bradbury, Lorin Leslie is an sole proprietor health care provider with primary practice located at 192 Alex Hately , Bethel AK 99559. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bradbury, Lorin Leslie can be contacted via phone (907) 543-3266.Contact Information
Primary practice address
192 Alex Hately
Bethel AK 99559
Phone: (907) 543-3266
Fax: (907) 543-4767
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0390 | Alaska |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 0390 | Alaska |
Profile Details
NPI number | 1649493552 |
---|---|
LBN Legal business name | Bradbury, Lorin Leslie |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 10th, 2007 |
Last updated | Jul 8th, 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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