Gault, Bradley Dean
Gault, Bradley Dean is an sole proprietor health care provider with primary practice located at 98 Liberty Ln , Mineral Wells WV 26150-1605. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Gault, Bradley Dean can be contacted via phone (304) 482-2959.Contact Information
Primary practice address
98 Liberty Ln
Mineral Wells WV 26150-1605
Phone: (304) 482-2959
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 859 | West Virginia |
Profile Details
NPI number | 1316396062 |
---|---|
LBN Legal business name | Gault, Bradley Dean |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 3rd, 2016 |
Last updated | Jun 3rd, 2016 - about 9 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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