Brockmoller, Jillian Shelby
Brockmoller, Jillian Shelby is an individual health care provider with primary practice located at 720 14Th Ave , Longview WA 98632-2315. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Brockmoller, Jillian Shelby can be contacted via phone (360) 423-0203.Contact Information
Primary practice address
720 14Th Ave
Longview WA 98632-2315
Phone: (360) 423-0203
Fax: (360) 577-0187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1821788266 |
|---|---|
| LBN Legal business name | Brockmoller, Jillian Shelby |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2023 |
| Last updated | May 9th, 2023 - about 2 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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