Brockman, Theresa A
Brockman, Theresa A is an individual health care provider with primary practice located at 1231 Columbus Ave Unit A1 , Lebanon OH 45036-8196. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Brockman, Theresa A can be contacted via phone (513) 695-4495.Contact Information
Primary practice address
1231 Columbus Ave Unit A1
Lebanon OH 45036-8196
Phone: (513) 695-4495
Fax: (513) 228-1236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | I1451226 | Ohio |
Profile Details
| NPI number | 1346618063 |
|---|---|
| LBN Legal business name | Brockman, Theresa A |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2015 |
| Last updated | Nov 19th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346618063 | NPPES |
| Ohio | MEDICAID | 0165638 |
Popular Providers
-
Moore Funke, Tracy
975 Kingsview Dr Bldg A, Lebanon OH 45036-9562 -
Sheeran, Kaitlyn
204 Cook Rd Suite 400, Lebanon OH 45036-9600 -
Lawson-Myers, John C.
759 Columbus Ave , Lebanon OH 45036-1754 -
Miller, Corrine
5234 W St Rt 63 , Lebanon OH 45036-8202 -
Etter, Tami Dawn
1879 Deerfield Rd , Lebanon OH 45036-8602 -
Lovitt, Heather
767 Columbus Ave , Lebanon OH 45036-1749 -
Maas, Lauren E
975 Kingsview Dr Bldg A, Lebanon OH 45036-9562 -
Tuttle, Tiffany
1879 Deerfield Rd , Lebanon OH 45036-9946