Brandt, Martha Ann
Brandt, Martha Ann is an sole proprietor health care provider with primary practice located at 4770 Covert Ave Suite 230, Evansville IN 47714-5668. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brandt, Martha Ann can be contacted via phone (812) 475-3420.Contact Information
Primary practice address
4770 Covert Ave Suite 230
Evansville IN 47714-5668
Phone: (812) 475-3420
Fax: (812) 475-3470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | IN34002317A | Indiana |
Profile Details
| NPI number | 1114900412 |
|---|---|
| LBN Legal business name | Brandt, Martha Ann |
| Credentials | LCSW ACSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Aug 16th, 2010 - about 15 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 | 1114900412 | NPPES |
| Other | 000000290662 | BCBS ANTHEM | |
| Other | 5311045 | BCBS ANTHEM |
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