Brazzale Surgical Assisting Llc
LBN: Center For Myofascial Therapeutics And Aesthetics
Brazzale Surgical Assisting Llc is an health care organization with primary practice located at 9430 Wicker Ave , Saint John IN 46373-9400. The organization recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty.
Center For Myofascial Therapeutics And Aesthetics can be contacted via phone (219) 558-8068, or through Brazzale, Ariel via phone (219) 669-1034.
Contact Information
Primary practice address
9430 Wicker Ave
Saint John IN 46373-9400
Phone: (219) 558-8068
Fax: (877) 822-9116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1932750056 |
|---|---|
| LBN Legal business name | Center For Myofascial Therapeutics And Aesthetics |
| DBA Doing business as | Brazzale Surgical Assisting Llc |
| Authorized official | Brazzale, Ariel Nurse Practitioner (NP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2019 |
| Last updated | Aug 21st, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932750056 | NPPES |
| Indiana | Other | 71013263A | INDIANA NURSING BOARD LICENSE |
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