Longbrake, Beth Ann

Longbrake, Beth Ann is an individual health care provider with primary practice located at 5020 Grape Rd , Mishawaka IN 46545-8708. She recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as her primary health care specialty. Longbrake, Beth Ann can be contacted via phone (574) 273-3533.

Contact Information

Primary practice address
5020 Grape Rd Mishawaka IN 46545-8708
Fax: (574) 273-3565
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 26019104A Indiana

Profile Details

NPI number 1053721852
LBN Legal business name Longbrake, Beth Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2014
Last updated May 1st, 2014 - about 10 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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