Ekstrom, Brandi

Ekstrom, Brandi is an individual health care provider with primary practice located at 1750 E Glendale Ave , Phoenix AZ 85020-5505. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Ekstrom, Brandi can be contacted via phone (602) 242-4928.

Contact Information

Primary practice address
1750 E Glendale Ave Phoenix AZ 85020-5505
Phone: (602) 242-4928
Fax: (602) 249-4813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X

Profile Details

NPI number 1114308426
LBN Legal business name Ekstrom, Brandi
Credentials C.O.A., S.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2015
Last updated Jun 11th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114308426 NPPES
Arizona Other 159165 JCAHPO

Popular Providers