Ladle, Bruce L

Ladle, Bruce L is an individual health care provider with primary practice located at 30 E Apple St Suite 6255, Dayton OH 45409-2939. He recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as his primary health care specialty. Ladle, Bruce L can be contacted via phone (937) 208-4452.

Contact Information

Primary practice address
30 E Apple St Suite 6255 Dayton OH 45409-2939
Phone: (937) 208-4452
Fax: (937) 208-3893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 4850 Ohio

Profile Details

NPI number 1205921061
LBN Legal business name Ladle, Bruce L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 13th, 2014 - about 11 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 1205921061 NPPES
Ohio MEDICAID 0981497
Ohio MEDICAID 5935608
Ohio Other 31053750400

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