Jeremy, Brent Alan
Jeremy, Brent Alan is an sole proprietor health care provider with primary practice located at 2525 20Th St. , Vero Beach FL 32960-3026. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jeremy, Brent Alan can be contacted via phone (772) 567-6508.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 4445 | Florida |
Profile Details
| NPI number | 1811100845 |
|---|---|
| LBN Legal business name | Jeremy, Brent Alan |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Feb 10th, 2008 - about 18 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 | 1811100845 | NPPES |
| Florida | Other | AH367Z | PTAN |
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