Brodrick, Jonathan

Brodrick, Jonathan is an individual health care provider with primary practice located at 405 E Excelsior Ave , Vinita OK 74301-4226. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Brodrick, Jonathan can be contacted via phone (918) 256-6476.

Contact Information

Primary practice address
405 E Excelsior Ave Vinita OK 74301-4226
Phone: (918) 256-6476
Fax: (918) 256-3628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1124261888
LBN Legal business name Brodrick, Jonathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2009
Last updated Sep 7th, 2011 - about 15 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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