Whitaker, Brenda Joyce
Whitaker, Brenda Joyce is an sole proprietor health care provider with primary practice located at 4101 S Medford Dr , Lufkin TX 75901-5633. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Whitaker, Brenda Joyce can be contacted via phone (936) 639-1141.Contact Information
Primary practice address
4101 S Medford Dr
Lufkin TX 75901-5633
Phone: (936) 639-1141
Fax: (936) 633-5695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 8757 | Texas |
Profile Details
| NPI number | 1285795435 |
|---|---|
| LBN Legal business name | Whitaker, Brenda Joyce |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1285795435 | NPPES |
| Texas | Other | 8648BH | BLUE CROSS BLUE SHIELD |
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