Clevenger, Brady Evan
Clevenger, Brady Evan is an individual health care provider with primary practice located at 2914 E 32Nd St Suite 308, Joplin MO 64804-4402. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Clevenger, Brady Evan can be contacted via phone (417) 624-8333.Contact Information
Primary practice address
2914 E 32Nd St Suite 308
Joplin MO 64804-4402
Phone: (417) 624-8333
Fax: (417) 624-0349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2005036369 | Missouri |
Profile Details
| NPI number | 1720049471 |
|---|---|
| LBN Legal business name | Clevenger, Brady Evan |
| Credentials | MS PLPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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