Swartz, Brenda J
Swartz, Brenda J is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Swartz, Brenda J can be contacted via phone (708) 216-9000.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 200481450 A | Indiana |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071009311 | Illinois |
Profile Details
NPI number | 1962569954 |
---|---|
LBN Legal business name | Swartz, Brenda J |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 2nd, 2007 |
Last updated | May 4th, 2021 - 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 | 1962569954 | NPPES |
Indiana | MEDICAID | 200481450 A |
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