Brossman, Jennifer
Brossman, Jennifer is an individual health care provider with primary practice located at 1222 W Westchester Way , Mustang OK 73064-2303. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Brossman, Jennifer can be contacted via phone (405) 816-1014.Contact Information
Primary practice address
1222 W Westchester Way
Mustang OK 73064-2303
Phone: (405) 816-1014
Fax: (405) 422-8249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-23-253709 | Oklahoma |
Profile Details
| NPI number | 1174808034 |
|---|---|
| LBN Legal business name | Brossman, Jennifer |
| Credentials | RBT-23-253709 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2011 |
| Last updated | Jan 23rd, 2023 - about 3 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 | 1174808034 | NPPES |
| Oklahoma | MEDICAID | RBT-23-253709 |
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