Brakeman, Jennifer Dawn

Brakeman, Jennifer Dawn is an sole proprietor health care provider with primary practice located at 1076 W Hayden Ave , Hayden ID 83835. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Brakeman, Jennifer Dawn can be contacted via phone (208) 772-2823.

Contact Information

Primary practice address
1076 W Hayden Ave Hayden ID 83835
Phone: (208) 772-2823
Fax: (208) 209-3120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X MID-57 Idaho

Profile Details

NPI number 1205369436
LBN Legal business name Brakeman, Jennifer Dawn
Credentials Licensed Midwife (LM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2017
Last updated Apr 5th, 2017 - about 8 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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