Patitz, Bradley

Patitz, Bradley is an individual health care provider with primary practice located at 451 S Park Ridge Rd Ste 102 , Bloomington IN 47401-8589. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Patitz, Bradley can be contacted via phone (812) 822-0189.

Contact Information

Primary practice address
451 S Park Ridge Rd Ste 102 Bloomington IN 47401-8589
Phone: (812) 822-0189
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1275049991
LBN Legal business name Patitz, Bradley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2017
Last updated Dec 18th, 2017 - about 9 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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