Bradshaw, Ian William

Bradshaw, Ian William is an sole proprietor health care provider with primary practice located at 1141 E Main St Ste 200 , Batesville AR 72501-3014. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Bradshaw, Ian William can be contacted via phone (877) 994-5569.

Contact Information

Primary practice address
1141 E Main St Ste 200 Batesville AR 72501-3014
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P1411090 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P1411090 Arkansas

Profile Details

NPI number 1881848265
LBN Legal business name Bradshaw, Ian William
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2008
Last updated May 11th, 2018 - 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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