Smith, Brandy Rose
Smith, Brandy Rose is an individual health care provider with primary practice located at 700 Brooksedge Blvd , Westerville OH 43081-2820. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Brandy Rose can be contacted via phone (740) 255-1209.Contact Information
Primary practice address
700 Brooksedge Blvd
Westerville OH 43081-2820
Phone: (740) 255-1209
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I1303283 | Ohio |
Profile Details
| NPI number | 1962889709 |
|---|---|
| LBN Legal business name | Smith, Brandy Rose |
| Credentials | MSW, LISW-S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2015 |
| Last updated | May 1st, 2015 - about 11 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 | 1962889709 | NPPES |
| Ohio | MEDICAID | 0200375 |
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