Broadhurst, Jennie Tara
Broadhurst, Jennie Tara is an sole proprietor health care provider with primary practice located at 72 Moody Ct , Thousand Oaks CA 91360-6067. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Broadhurst, Jennie Tara can be contacted via phone (805) 587-5328.Contact Information
Primary practice address
72 Moody Ct
Thousand Oaks CA 91360-6067
Phone: (805) 587-5328
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1114186996 |
|---|---|
| LBN Legal business name | Broadhurst, Jennie Tara |
| Credentials | BA DEGREE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2008 |
| Last updated | Jun 5th, 2008 - about 16 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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