Brugman, Joan Diane
Brugman, Joan Diane is an sole proprietor health care provider with primary practice located at 915 Tate Blvd Se Ste 186 , Hickory NC 28602-4042. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Brugman, Joan Diane can be contacted via phone (828) 449-8563.Contact Information
Primary practice address
915 Tate Blvd Se Ste 186
Hickory NC 28602-4042
Phone: (828) 449-8563
Fax: (828) 323-8348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2300 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2300 | North Carolina |
Profile Details
| NPI number | 1760540306 |
|---|---|
| LBN Legal business name | Brugman, Joan Diane |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 10th, 2019 - about 5 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 | 1760540306 | NPPES |
| North Carolina | Other | 0369Q | BLUE CROSS BLUE SHIELD ID |
| North Carolina | MEDICAID | 6000447 | BLUE CROSS BLUE SHIELD ID |
| North Carolina | MEDICAID | 1760540306 | BLUE CROSS BLUE SHIELD ID |
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