Broyles, Jennifer Rose

Broyles, Jennifer Rose is an individual health care provider with primary practice located at 900 Broadway Suite 1, Poteau OK 74953. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Broyles, Jennifer Rose can be contacted via phone (918) 649-0772.

Contact Information

Primary practice address
900 Broadway Suite 1 Poteau OK 74953
Phone: (918) 649-0772
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1896 Arkansas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SUPERVISION Oklahoma

Profile Details

NPI number 1720351273
LBN Legal business name Broyles, Jennifer Rose
Credentials LPC-S, CM2, PTA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2012
Last updated Jul 11th, 2016 - about 10 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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