Ross, Bradley

Ross, Bradley is an sole proprietor health care provider with primary practice located at W4051 County Road Nn , Elkhorn WI 53121-4338. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Ross, Bradley can be contacted via phone (262) 741-3279.

Contact Information

Primary practice address
W4051 County Road Nn Elkhorn WI 53121-4338
Phone: (262) 741-3279
Fax: (262) 741-3217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 5165-125 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 542-226 Wisconsin

Profile Details

NPI number 1154665214
LBN Legal business name Ross, Bradley
Credentials MS, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Jul 21st, 2022 - about 2 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 1154665214 NPPES
Wisconsin MEDICAID 1154665214

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