Brockmeyer, Samantha J

Brockmeyer, Samantha J is an sole proprietor health care provider with primary practice located at 525 Avon Belden Rd Ste 1 , Avon Lake OH 44012-4101. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brockmeyer, Samantha J can be contacted via phone (216) 302-7805.

Contact Information

Primary practice address
525 Avon Belden Rd Ste 1 Avon Lake OH 44012-4101
Phone: (216) 302-7805
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.169590 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X S.2005043 Ohio

Profile Details

NPI number 1962980888
LBN Legal business name Brockmeyer, Samantha J
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2018
Last updated Jul 13th, 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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