Brisco, Juanita

Brisco, Juanita is an sole proprietor health care provider with primary practice located at 28291 Fisher Rd , Milton DE 19968-3273. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Brisco, Juanita can be contacted via phone (302) 573-1247.

Contact Information

Primary practice address
28291 Fisher Rd Milton DE 19968-3273
Phone: (302) 573-1247
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1659974087
LBN Legal business name Brisco, Juanita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2020
Last updated Nov 18th, 2020 - about 6 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 1659974087 NPPES
Delaware MEDICAID 250568415

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