Bradford, Mark Lavelle
Bradford, Mark Lavelle is an sole proprietor health care provider with primary practice located at 309 N Jefferson Ave Ste 245, Springfield MO 65806-1108. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bradford, Mark Lavelle can be contacted via phone (417) 833-9999.Contact Information
Primary practice address
309 N Jefferson Ave Ste 245
Springfield MO 65806-1108
Phone: (417) 833-9999
Fax: (417) 833-2727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PYR0472 | Missouri |
Profile Details
| NPI number | 1396867271 |
|---|---|
| LBN Legal business name | Bradford, Mark Lavelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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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