Garson, Bradley C.
Garson, Bradley C. is an sole proprietor health care provider with primary practice located at 54 N 1St St , Black River Falls WI 54615-1311. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Garson, Bradley C. can be contacted via phone (715) 797-5007.Contact Information
Primary practice address
54 N 1St St
Black River Falls WI 54615-1311
Phone: (715) 797-5007
Fax: (715) 333-5007
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2907-123 | Wisconsin |
Profile Details
NPI number | 1336133651 |
---|---|
LBN Legal business name | Garson, Bradley C. |
Credentials | MSSW LCSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 1st, 2005 |
Last updated | Sep 30th, 2007 - about 17 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 | 1336133651 | NPPES |
Wisconsin | MEDICAID | 39655500 |
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