Braaksma, Benjamin
Braaksma, Benjamin is an sole proprietor health care provider with primary practice located at 4860 Britton Farms Dr , Hilliard OH 43026-9092. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Braaksma, Benjamin can be contacted via phone (206) 945-0648.Contact Information
Primary practice address
4860 Britton Farms Dr
Hilliard OH 43026-9092
Phone: (206) 945-0648
Fax: (206) 834-6734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH60891645 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E.2303894 | Ohio |
Profile Details
| NPI number | 1487076493 |
|---|---|
| LBN Legal business name | Braaksma, Benjamin |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2014 |
| Last updated | May 29th, 2024 - about last year |
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 | 1487076493 | NPPES |
| Washington | Other | LH60891645 | LICENSE |
| Washington | Other | E.2303894 | LICENSE |
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