Brautigam, Jan
Brautigam, Jan is an sole proprietor health care provider with primary practice located at 501 1St Capitol Dr Suite 4, Saint Charles MO 63301-2768. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brautigam, Jan can be contacted via phone (636) 946-1500.Contact Information
Primary practice address
501 1St Capitol Dr Suite 4
Saint Charles MO 63301-2768
Phone: (636) 946-1500
Fax: (636) 946-1516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 001311 | Missouri |
Profile Details
| NPI number | 1124116744 |
|---|---|
| LBN Legal business name | Brautigam, Jan |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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