Thompson, Bradley

Thompson, Bradley is an individual health care provider with primary practice located at 1802 S Mattis Ave , Champaign IL 61821-5923. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Thompson, Bradley can be contacted via phone (217) 365-2855.

Contact Information

Primary practice address
1802 S Mattis Ave Champaign IL 61821-5923
Phone: (217) 365-2855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X RN.458795 Ohio
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 041.494794 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.021514.041.49794 Illinois

Profile Details

NPI number 1982230124
LBN Legal business name Thompson, Bradley
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2020
Last updated Jan 29th, 2021 - about 3 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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