Brady, Stephen Douglas
Brady, Stephen Douglas is an sole proprietor health care provider with primary practice located at 2732 Ann Elizabeth Dr , Burlington NC 27215-5111. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Brady, Stephen Douglas can be contacted via phone (336) 227-5050.Contact Information
Primary practice address
2732 Ann Elizabeth Dr
Burlington NC 27215-5111
Phone: (336) 227-5050
Fax: (336) 227-5060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 719 | North Carolina |
Profile Details
| NPI number | 1316001670 |
|---|---|
| LBN Legal business name | Brady, Stephen Douglas |
| Credentials | M.ED., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | May 18th, 2011 - about 13 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 | 1316001670 | NPPES |
| North Carolina | MEDICAID | 6102794 |
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