Holt, Bradley Ryan

Holt, Bradley Ryan is an individual health care provider with primary practice located at 247 Cic Blvd , West Union OH 45693-7512. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Holt, Bradley Ryan can be contacted via phone (513) 941-4999.

Contact Information

Primary practice address
247 Cic Blvd West Union OH 45693-7512
Phone: (513) 941-4999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.184559 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.180419 Ohio

Profile Details

NPI number 1942956529
LBN Legal business name Holt, Bradley Ryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2022
Last updated Nov 3rd, 2023 - about last year

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 1942956529 NPPES
Ohio MEDICAID 0484893

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