Brandt, Martha Ann

Brandt, Martha Ann is an sole proprietor health care provider with primary practice located at 4770 Covert Ave Suite 230, Evansville IN 47714-5668. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brandt, Martha Ann can be contacted via phone (812) 475-3420.

Contact Information

Primary practice address
4770 Covert Ave Suite 230 Evansville IN 47714-5668
Phone: (812) 475-3420
Fax: (812) 475-3470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X IN34002317A Indiana

Profile Details

NPI number 1114900412
LBN Legal business name Brandt, Martha Ann
Credentials LCSW ACSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Aug 16th, 2010 - about 16 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 1114900412 NPPES
Other 000000290662 BCBS ANTHEM
Other 5311045 BCBS ANTHEM

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