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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750853362 | NPPES |
North Carolina | Other | 1774 | CODE |
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