Brockhoff, Stacie

Brockhoff, Stacie is an individual health care provider with primary practice located at 314 S Broadway Ave Suite 106, Ada OK 74820-5828. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as her primary health care specialty. Brockhoff, Stacie can be contacted via phone (580) 235-0210.

Contact Information

Primary practice address
314 S Broadway Ave Suite 106 Ada OK 74820-5828
Phone: (580) 235-0210
Fax: (580) 235-0211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X

Profile Details

NPI number 1831415934
LBN Legal business name Brockhoff, Stacie
Credentials B.H.R.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2010
Last updated Mar 16th, 2011 - about 13 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 1831415934 NPPES
Oklahoma MEDICAID 100746700C

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