Bruckerhoff, Tara
Bruckerhoff, Tara is an individual health care provider with primary practice located at 20 S Sprigg St , Cape Girardeau MO 63703-6212. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bruckerhoff, Tara can be contacted via phone (573) 651-4177.Contact Information
Primary practice address
20 S Sprigg St
Cape Girardeau MO 63703-6212
Phone: (573) 651-4177
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1740054808 |
|---|---|
| LBN Legal business name | Bruckerhoff, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2023 |
| Last updated | Nov 9th, 2023 - 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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