Hayes, Brandon B

Hayes, Brandon B is an individual health care provider with primary practice located at 4351 W College Ave Ste 410 , Appleton WI 54914. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Hayes, Brandon B can be contacted via phone (800) 438-1772.

Contact Information

Primary practice address
4351 W College Ave Ste 410 Appleton WI 54914
Phone: (800) 438-1772
Fax: (262) 345-5562
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2756-057 Wisconsin

Profile Details

NPI number 1114025343
LBN Legal business name Hayes, Brandon B
Credentials LP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 6th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114025343 NPPES
Wisconsin Other 2756-057 WI DEPARTMENT OF REGULATION & LICENSING
Wisconsin MEDICAID 43704700 WI DEPARTMENT OF REGULATION & LICENSING

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