Brister, Norma
Brister, Norma is an sole proprietor health care provider with primary practice located at 668 Blackbird Landing Rd , Townsend DE 19734-9139. 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. Brister, Norma can be contacted via phone (302) 602-0787.Contact Information
Primary practice address
668 Blackbird Landing Rd
Townsend DE 19734-9139
Phone: (302) 602-0787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | Delaware |
Profile Details
| NPI number | 1609474451 |
|---|---|
| LBN Legal business name | Brister, Norma |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2020 |
| Last updated | Oct 14th, 2020 - about 4 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 | 1609474451 | NPPES |
| Delaware | MEDICAID | 000000625 |
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