Small, Bradley G
Small, Bradley G is an sole proprietor health care provider with primary practice located at 1644 W Colonial Pkwy , Inverness IL 60067-1207. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Small, Bradley G can be contacted via phone (847) 776-4500.Contact Information
Primary practice address
1644 W Colonial Pkwy
Inverness IL 60067-1207
Phone: (847) 776-4500
Fax: (847) 776-4724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Iowa |
Profile Details
| NPI number | 1669586574 |
|---|---|
| LBN Legal business name | Small, Bradley G |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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