Schrader, Brent
Schrader, Brent is an sole proprietor health care provider with primary practice located at 1900 Westridge Rd , Carlsbad NM 88220-3550. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Schrader, Brent can be contacted via phone (575) 725-5552.Contact Information
Primary practice address
1900 Westridge Rd
Carlsbad NM 88220-3550
Phone: (575) 725-5552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-08687 | New Mexico |
Profile Details
| NPI number | 1114952033 |
|---|---|
| LBN Legal business name | Schrader, Brent |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jan 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114952033 | NPPES |
| New Mexico | MEDICAID | 84501278NM |
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