Schoenradt, Mick A

Schoenradt, Mick A is an individual health care provider with primary practice located at 1116 N 16Th St , Lafayette IN 47904-2119. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Schoenradt, Mick A can be contacted via phone (765) 423-6300.

Contact Information

Primary practice address
1116 N 16Th St Lafayette IN 47904-2119
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87001164A Indiana

Profile Details

NPI number 1750896569
LBN Legal business name Schoenradt, Mick A
Credentials LCAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2017
Last updated Dec 4th, 2017 - about 7 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 1750896569 NPPES
Indiana Other 87001164 LICENSE

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