Brace, Jim

Brace, Jim is an sole proprietor health care provider with primary practice located at 209 N Willow Ave , Tampa FL 33606-1333. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Brace, Jim can be contacted via phone (813) 247-5433.

Contact Information

Primary practice address
209 N Willow Ave Tampa FL 33606-1333
Phone: (813) 247-5433
Fax: (813) 248-2141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW7075 Florida

Profile Details

NPI number 1184788705
LBN Legal business name Brace, Jim
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184788705 NPPES
Florida Other SW7075 SOCIAL WORKER
Florida MEDICAID 766959300 SOCIAL WORKER

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