Brotherton, Jeffery T

Brotherton, Jeffery T is an sole proprietor health care provider with primary practice located at 1545 Saint Marks Plz Ste 6 , Stockton CA 95207-6411. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Brotherton, Jeffery T can be contacted via phone (209) 477-9181.

Contact Information

Primary practice address
1545 Saint Marks Plz Ste 6 Stockton CA 95207-6411
Fax: (209) 477-9192
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA3182 California

Profile Details

NPI number 1801943576
LBN Legal business name Brotherton, Jeffery T
Credentials HIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Aug 3rd, 2022 - about 3 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 1801943576 NPPES
California Other HA3182 HEARING AID DISPENSERS BOARD

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