Bricker, Jennifer Brooke
Bricker, Jennifer Brooke is an sole proprietor health care provider with primary practice located at 1500 Wilson Loop Road , Ward AR 72176. 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. Bricker, Jennifer Brooke can be contacted via phone (501) 941-5630.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT2582 | Arkansas |
Profile Details
| NPI number | 1649316530 |
|---|---|
| LBN Legal business name | Bricker, Jennifer Brooke |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649316530 | NPPES |
| Arkansas | Other | 5W755 | BLUE CROSS BLUE SHIELD |
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