Deadman, Brenda C

Deadman, Brenda C is an individual health care provider with primary practice located at 2600 Greenbush Street , Lafayette IN 47904-2479. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Deadman, Brenda C can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush Street Lafayette IN 47904-2479
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X CERT# 83089 Indiana

Profile Details

NPI number 1962673533
LBN Legal business name Deadman, Brenda C
Credentials Certified Surgical Technologist (CST)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2008
Last updated Apr 9th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962673533 NPPES
Indiana Other 000000556958 ANTHEM PROVIDER NUMBER

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