Brickert, Tina S

Brickert, Tina S is an individual health care provider with primary practice located at 2209 John R Wooden Dr Morgan Ob-Gyn Specialists, Martinsville IN 46151-1840. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Brickert, Tina S can be contacted via phone (765) 352-9536.

Contact Information

Primary practice address
2209 John R Wooden Dr Morgan Ob-Gyn Specialists Martinsville IN 46151-1840
Phone: (765) 352-9536
Fax: (765) 349-6433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 72000016A Indiana

Profile Details

NPI number 1932101573
LBN Legal business name Brickert, Tina S
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Dec 2nd, 2020 - about 6 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 1932101573 NPPES
Indiana Other 1104827633 GROUP NPI NUMBER
Indiana MEDICAID 200131150 GROUP NPI NUMBER
Indiana MEDICAID 200377200 GROUP NPI NUMBER

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