Travis, Brad

Travis, Brad is an sole proprietor health care provider with primary practice located at 1224 Norley Ave , Joliet IL 60435-4074. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Travis, Brad can be contacted via phone (815) 690-0213.

Contact Information

Primary practice address
1224 Norley Ave Joliet IL 60435-4074
Phone: (815) 690-0213
Fax: (815) 846-0436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14173 Illinois

Profile Details

NPI number 1114202074
LBN Legal business name Travis, Brad
Credentials MS.CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2011
Last updated Oct 11th, 2011 - about 15 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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