Brown-Bushrod, Dionne Michelle
Brown-Bushrod, Dionne Michelle is an sole proprietor health care provider with primary practice located at 3713 Tall Grass Ct , Randallstown MD 21133-2824. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brown-Bushrod, Dionne Michelle can be contacted via phone (410) 484-6070.Contact Information
Primary practice address
3713 Tall Grass Ct
Randallstown MD 21133-2824
Phone: (410) 484-6070
Fax: (410) 992-8522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 09133 | Maryland |
Profile Details
| NPI number | 1134110620 |
|---|---|
| LBN Legal business name | Brown-Bushrod, Dionne Michelle |
| Credentials | LCSW C MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | May 3rd, 2021 - about 4 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 | 1134110620 | NPPES |
| Maryland | MEDICAID | 348600100 |
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