Brabham, Jared

Brabham, Jared is an individual health care provider with primary practice located at 2000 Opelousas St , Lake Charles LA 70601-2641. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Brabham, Jared can be contacted via phone (337) 439-9983.

Contact Information

Primary practice address
2000 Opelousas St Lake Charles LA 70601-2641
Phone: (337) 439-9983
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN158835 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 234094 Louisiana

Profile Details

NPI number 1134763576
LBN Legal business name Brabham, Jared
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2019
Last updated Apr 10th, 2024 - about 8 months 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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