Cobb, Brian
Cobb, Brian is an sole proprietor health care provider with primary practice located at 1000 Blue Bird Dr Ste 5 , Killeen TX 76548-1252. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cobb, Brian can be contacted via phone (360) 790-1774.Contact Information
Primary practice address
1000 Blue Bird Dr Ste 5
Killeen TX 76548-1252
Phone: (360) 790-1774
Fax: (866) 801-2626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 54194 | Texas |
Profile Details
| NPI number | 1952668337 |
|---|---|
| LBN Legal business name | Cobb, Brian |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2012 |
| Last updated | Sep 28th, 2018 - about 8 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 | 1952668337 | NPPES |
| Texas | MEDICAID | 293343403 | |
| Texas | Other | 564429 |
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