Qualls, Brocklin

Qualls, Brocklin is an sole proprietor health care provider with primary practice located at 11870 Grand Park Ave Apt 333 , North Bethesda MD 20852-8692. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Qualls, Brocklin can be contacted via phone (202) 560-0921.

Contact Information

Primary practice address
11870 Grand Park Ave Apt 333 North Bethesda MD 20852-8692
Phone: (202) 560-0921
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1487427225
LBN Legal business name Qualls, Brocklin
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2023
Last updated Nov 2nd, 2023 - about last year

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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