Brotherton, Jeffery T
Brotherton, Jeffery T is an sole proprietor health care provider with primary practice located at 1545 Saint Marks Plz Ste 6 , Stockton CA 95207-6411. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Brotherton, Jeffery T can be contacted via phone (209) 477-9181.Contact Information
Primary practice address
1545 Saint Marks Plz Ste 6
Stockton CA 95207-6411
Phone: (209) 477-9181
Fax: (209) 477-9192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | HA3182 | California |
Profile Details
| NPI number | 1801943576 |
|---|---|
| LBN Legal business name | Brotherton, Jeffery T |
| Credentials | HIS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Aug 3rd, 2022 - about 4 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 | 1801943576 | NPPES |
| California | Other | HA3182 | HEARING AID DISPENSERS BOARD |
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