Bradshaw, Kelsey Michael
Bradshaw, Kelsey Michael is an sole proprietor health care provider with primary practice located at 145 Vallecitos De Oro Ste 210 , San Marcos CA 92069-1459. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bradshaw, Kelsey Michael can be contacted via phone (619) 668-6200.Contact Information
Primary practice address
145 Vallecitos De Oro Ste 210
San Marcos CA 92069-1459
Phone: (619) 668-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY28095 | California |
Profile Details
| NPI number | 1629387766 |
|---|---|
| LBN Legal business name | Bradshaw, Kelsey Michael |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2010 |
| Last updated | Mar 24th, 2016 - about 8 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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