Brandis, Jason Immanuel
Brandis, Jason Immanuel is an individual health care provider with primary practice located at 1956 Ne Kresky Ave , Chehalis WA 98532-2307. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Brandis, Jason Immanuel can be contacted via phone (360) 740-4380.Contact Information
Primary practice address
1956 Ne Kresky Ave
Chehalis WA 98532-2307
Phone: (360) 740-4380
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 61077105 | Washington |
Profile Details
| NPI number | 1477161552 |
|---|---|
| LBN Legal business name | Brandis, Jason Immanuel |
| Credentials | SUDPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2020 |
| Last updated | Feb 24th, 2022 - about 2 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 | 1477161552 | NPPES |
| Washington | MEDICAID | 2161081 |
Popular Providers
-
Fillmore Hardy, Deserie M
135 W Main St , Chehalis WA 98532-4817 -
Munro, Stacie
135 W Main St , Chehalis WA 98532-4817 -
West, Erin Renea
121 Nw Chehalis Ave , Chehalis WA 98532-2010 -
Rose, Karen Liselle
151 Ne Hampe Way , Chehalis WA 98532-2403 -
Armstrong, Michelle Anne
645 Se Dobson Ct Apt 1 , Chehalis WA 98532-3135 -
Stamper, Amber Lee
151 N Market Blvd Ste C , Chehalis WA 98532-2677 -
Martinez, Carlos Alberto
135 W Main St , Chehalis WA 98532-4817 -
Johnson, Kristie Lynn
500 Se Washington Ave , Chehalis WA 98532-3058