Radzom, Brian Charles
Radzom, Brian Charles is an sole proprietor health care provider with primary practice located at 205 S Main St , Edwardsville IL 62025-1921. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Radzom, Brian Charles can be contacted via phone (618) 248-2040.Contact Information
Primary practice address
205 S Main St
Edwardsville IL 62025-1921
Phone: (618) 248-2040
Fax: (618) 248-2040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149012706 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2007033648 | Missouri |
Profile Details
| NPI number | 1790941300 |
|---|---|
| LBN Legal business name | Radzom, Brian Charles |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2008 |
| Last updated | Oct 21st, 2016 - about 9 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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