Willborn, Bradley R

Willborn, Bradley R is an individual health care provider with primary practice located at 627 Main St , Darlington WI 53530-1395. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Willborn, Bradley R can be contacted via phone (608) 776-4800.

Contact Information

Primary practice address
627 Main St Darlington WI 53530-1395
Phone: (608) 776-4800
Fax: (608) 776-4914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1053571646
LBN Legal business name Willborn, Bradley R
Credentials BS, MSE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated Jun 17th, 2008 - 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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