Hicks-Jones, Brenetta
Hicks-Jones, Brenetta is an sole proprietor health care provider with primary practice located at 1318 S Coati Dr , Tucson AZ 85713-1218. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as her primary health care specialty. Hicks-Jones, Brenetta can be contacted via phone (520) 623-1022.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | BH-3839 | Arizona |
Profile Details
| NPI number | 1881961969 |
|---|---|
| LBN Legal business name | Hicks-Jones, Brenetta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2011 |
| Last updated | Nov 17th, 2011 - about 13 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 | 1881961969 | NPPES |
| Arizona | Other | BH-3938 | AZ DEPT OF HEALTH SERVICES |
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