Rafferty, Brenna
Rafferty, Brenna is an individual health care provider with primary practice located at 5366 Eastern Ave Se , Kentwood MI 49508-6018. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Rafferty, Brenna can be contacted via phone (616) 608-3665.Contact Information
Primary practice address
5366 Eastern Ave Se
Kentwood MI 49508-6018
Phone: (616) 608-3665
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1225544406 |
|---|---|
| LBN Legal business name | Rafferty, Brenna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 24th, 2017 |
| Last updated | Dec 24th, 2017 - about 8 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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