Koliba, Bradley Richard
Koliba, Bradley Richard is an individual health care provider with primary practice located at 26210 Harper Ave , Saint Clair Shores MI 48081-2203. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Koliba, Bradley Richard can be contacted via phone (888) 485-8636.Contact Information
Primary practice address
26210 Harper Ave
Saint Clair Shores MI 48081-2203
Phone: (888) 485-8636
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | K410098738876 | Michigan |
Profile Details
| NPI number | 1134760838 |
|---|---|
| LBN Legal business name | Koliba, Bradley Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2019 |
| Last updated | Apr 1st, 2024 - 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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