Holloway, Bradford Owen

Holloway, Bradford Owen is an individual health care provider with primary practice located at 6701 Highway 67 , Benton AR 72015. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Holloway, Bradford Owen can be contacted via phone (501) 315-3344.

Contact Information

Primary practice address
6701 Highway 67 Benton AR 72015
Phone: (501) 315-3344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 802-C Arkansas

Profile Details

NPI number 1831157148
LBN Legal business name Holloway, Bradford Owen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 30th, 2018 - about 6 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 1831157148 NPPES
Arkansas Other 55203 BLUECROSS BLUESHIELD

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