Brauer, Tessa
Brauer, Tessa is an individual health care provider with primary practice located at 6967 Central Ave , Indianapolis IN 46220-1025. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Brauer, Tessa can be contacted via phone (616) 481-3207.Contact Information
Primary practice address
6967 Central Ave
Indianapolis IN 46220-1025
Phone: (616) 481-3207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 31005737A | Indiana |
Profile Details
| NPI number | 1770917981 |
|---|---|
| LBN Legal business name | Brauer, Tessa |
| Credentials | OTR/L, CBIS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2013 |
| Last updated | Feb 29th, 2024 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770917981 | NPPES |
| Florida | MEDICAID | 009442900 |
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