Clarke, Brielle Summer
Clarke, Brielle Summer is an individual health care provider with primary practice located at 264 N Hidden Ct , Egg Harbor City NJ 08215-3443. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Clarke, Brielle Summer can be contacted via phone (609) 892-5069.Contact Information
Primary practice address
264 N Hidden Ct
Egg Harbor City NJ 08215-3443
Phone: (609) 892-5069
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1376202655 |
|---|---|
| LBN Legal business name | Clarke, Brielle Summer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2021 |
| Last updated | Dec 14th, 2021 - about 5 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 | 1376202655 | NPPES |
| New Jersey | Other | NJX3HZN03701960 | HORIZON BLUE CROSS BLUE SHIELD |
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