Braun, Sean
Braun, Sean is an sole proprietor health care provider with primary practice located at 301 W Rosedale St , Fort Worth TX 76104-4857. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Braun, Sean can be contacted via phone (817) 338-4471.Contact Information
Primary practice address
301 W Rosedale St
Fort Worth TX 76104-4857
Phone: (817) 338-4471
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 17421 | Texas |
Profile Details
| NPI number | 1285678839 |
|---|---|
| LBN Legal business name | Braun, Sean |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jun 21st, 2013 - about 11 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 | 1285678839 | NPPES |
| Texas | MEDICAID | 1700791-02 | |
| Texas | MEDICAID | 1700791-03 | |
| Texas | MEDICAID | 170079101 |
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