Braswell, Katina

Braswell, Katina is an individual health care provider with primary practice located at 10 Parker Ln , Pinehurst NC 28374-7903. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Braswell, Katina can be contacted via phone (910) 295-3133.

Contact Information

Primary practice address
10 Parker Ln Pinehurst NC 28374-7903
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P003830 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C006271 North Carolina

Profile Details

NPI number 1689810970
LBN Legal business name Braswell, Katina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2008
Last updated May 22nd, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689810970 NPPES
North Carolina Other 562033116 TRICARE
North Carolina MEDICAID 3403400 TRICARE

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