Van Rader, Jon
Van Rader, Jon is an individual health care provider with primary practice located at 425 Pleasant St , Brockton MA 02301-2533. 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. Van Rader, Jon can be contacted via phone (508) 272-7561.Contact Information
Primary practice address
425 Pleasant St
Brockton MA 02301-2533
Phone: (508) 272-7561
Fax: (508) 584-5402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11760 | Massachusetts |
Profile Details
| NPI number | 1740604008 |
|---|---|
| LBN Legal business name | Van Rader, Jon |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2014 |
| Last updated | Aug 7th, 2014 - about 11 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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