Carolan, Bradley William

Carolan, Bradley William is an sole proprietor health care provider with primary practice located at 4687 Indian Creek Pkwy , Overland Park KS 66207-4011. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is his primary health care specialty. Carolan, Bradley William can be contacted via phone (913) 648-8111.

Contact Information

Primary practice address
4687 Indian Creek Pkwy Overland Park KS 66207-4011
Phone: (913) 648-8111
Fax: (888) 349-7046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X KS-01-05421 Kansas
Chiropractic Providers / Sports Physician 111NS0005X KS-01-05421 Kansas

Profile Details

NPI number 1023421179
LBN Legal business name Carolan, Bradley William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2014
Last updated Jan 4th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1023421179 NPPES
Other 12285054 CAQH

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