Kusick, Bradley Robert

Kusick, Bradley Robert is an individual health care provider with primary practice located at 710 Burbank St Ste C , Broomfield CO 80020-1658. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Kusick, Bradley Robert can be contacted via phone (303) 907-3475.

Contact Information

Primary practice address
710 Burbank St Ste C Broomfield CO 80020-1658
Phone: (303) 907-3475
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 585 Colorado

Profile Details

NPI number 1376767491
LBN Legal business name Kusick, Bradley Robert
Credentials MA LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jan 7th, 2009 - about 16 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 1376767491 NPPES
Colorado MEDICAID 86602560

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