Bradlyn, Andrew
Bradlyn, Andrew is an individual health care provider with primary practice located at 930 Chestnut Ridge Rd , Morgantown WV 26505-2807. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bradlyn, Andrew can be contacted via phone (304) 598-4214.Contact Information
Primary practice address
930 Chestnut Ridge Rd
Morgantown WV 26505-2807
Phone: (304) 598-4214
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 405 | West Virginia |
Profile Details
| NPI number | 1336113778 |
|---|---|
| LBN Legal business name | Bradlyn, Andrew |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Nov 5th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336113778 | NPPES |
| West Virginia | MEDICAID | 0162916000 |
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