Base, Bradley W.

Base, Bradley W. is an sole proprietor health care provider with primary practice located at 322 S Laura Ave , Wichita KS 67211-1517. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Base, Bradley W. can be contacted via phone (316) 789-4193.

Contact Information

Primary practice address
322 S Laura Ave Wichita KS 67211-1517
Phone: (316) 789-4193
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1129 Kansas

Profile Details

NPI number 1710944905
LBN Legal business name Base, Bradley W.
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Dec 9th, 2024 - 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.

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