Individual
BRADLEY RENCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 WASHINGTON ST, PORTSMOUTH, OH 45662-3944
(740) 354-7702
(740) 353-6206
Mailing address
PO BOX 1507, PORTSMOUTH, OH 45662-1507
(800) 634-0201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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