Brzeczek, Bobbie Jo

Brzeczek, Bobbie Jo is an individual health care provider with primary practice located at 1621 W Morris Blvd Ste A , Morristown TN 37813-2967. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Brzeczek, Bobbie Jo can be contacted via phone (423) 492-7100.

Contact Information

Primary practice address
1621 W Morris Blvd Ste A Morristown TN 37813-2967
Phone: (423) 492-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 35623 Tennessee

Profile Details

NPI number 1952163396
LBN Legal business name Brzeczek, Bobbie Jo
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2024
Last updated Mar 27th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1952163396 NPPES
Tennessee MEDICAID Q090621

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