Crook-Petite-El, Brenda Elaine
Crook-Petite-El, Brenda Elaine is an sole proprietor health care provider with primary practice located at 289 Brookview Dr , Riverdale GA 30274-7207. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Crook-Petite-El, Brenda Elaine can be contacted via phone (770) 873-7370.Contact Information
Primary practice address
289 Brookview Dr
Riverdale GA 30274-7207
Phone: (770) 873-7370
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | ACTIVE | Georgia |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | ACTIVE | Michigan |
Profile Details
| NPI number | 1023240611 |
|---|---|
| LBN Legal business name | Crook-Petite-El, Brenda Elaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2009 |
| Last updated | Aug 14th, 2009 - about 15 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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