Brockmon, Carol

Brockmon, Carol is an sole proprietor health care provider with primary practice located at 7919 Park Ave Apt 1 , Elkins Park PA 19027-2645. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brockmon, Carol can be contacted via phone (215) 782-1484.

Contact Information

Primary practice address
7919 Park Ave Apt 1 Elkins Park PA 19027-2645
Fax: (215) 780-1848
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW000904L Pennsylvania

Profile Details

NPI number 1518142199
LBN Legal business name Brockmon, Carol
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2008
Last updated Jan 2nd, 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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