Qualls, Brocklin
Qualls, Brocklin is an sole proprietor health care provider with primary practice located at 11870 Grand Park Ave Apt 333 , North Bethesda MD 20852-8692. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Qualls, Brocklin can be contacted via phone (202) 560-0921.Contact Information
Primary practice address
11870 Grand Park Ave Apt 333
North Bethesda MD 20852-8692
Phone: (202) 560-0921
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1487427225 |
|---|---|
| LBN Legal business name | Qualls, Brocklin |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2023 |
| Last updated | Nov 2nd, 2023 - about 3 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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