Wolgast, Bradley Mark

Wolgast, Bradley Mark is an sole proprietor health care provider with primary practice located at 221 N Olive St , Media PA 19063-3250. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Wolgast, Bradley Mark can be contacted via phone (484) 442-0849.

Contact Information

Primary practice address
221 N Olive St Media PA 19063-3250
Phone: (484) 442-0849
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X B10000802 Delaware
Behavioral Health & Social Service Providers / Counseling 103TC1900X PS015452 Pennsylvania

Profile Details

NPI number 1457012767
LBN Legal business name Wolgast, Bradley Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2022
Last updated Jan 8th, 2022 - 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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