Mustard, Brandie
Mustard, Brandie is an sole proprietor health care provider with primary practice located at 3018 My Tabor Rd , Waverly OH 45690. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Mustard, Brandie can be contacted via phone (740) 703-9958.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X | M7100881 | Ohio |
Profile Details
| NPI number | 1538767181 |
|---|---|
| LBN Legal business name | Mustard, Brandie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2020 |
| Last updated | Oct 15th, 2020 - about 4 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 | 1538767181 | NPPES |
| Ohio | MEDICAID | 3048017 |
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