Brodie, Trista S

Brodie, Trista S is an individual health care provider with primary practice located at 4302 Nc 210 , Smithfield NC 27522-2752. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Homemaker, Other Service Providers / Prevention Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Brodie, Trista S can be contacted via phone (919) 609-9390.

Contact Information

Primary practice address
4302 Nc 210 Smithfield NC 27522-2752
Phone: (919) 609-9390
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 0000000000 North Carolina
Nursing Service Related Providers / Adult Companion 372600000X 0000000000 North Carolina
Nursing Service Related Providers / Homemaker 376J00000X 0000000000 North Carolina
Other Service Providers / Prevention Professional 405300000X 0000000000 North Carolina
Behavioral Health & Social Service Providers / Social Worker 104100000X 0000000000 North Carolina

Profile Details

NPI number 1750853362
LBN Legal business name Brodie, Trista S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2018
Last updated Dec 20th, 2018 - about 6 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 1750853362 NPPES
North Carolina Other 1774 CODE

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