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Contact Information

JENNIFER E BROCKMAN, MD
321 W PROMENADE ST
MEXICO, MO65265-2719
 Phone: 573-582-1234
 Fax: 573-582-1212
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Forensic Psychiatry

2084F0202X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JENNIFER E BROCKMAN · (Female)

NPI Number 1346323870
Status Active
Credentials MD
Entity Individual
Enumeration date 10/20/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A96005
  • MO License # 2004003502
  • CA Other A96005 STATE LICENSE
  • MO Other 2004003502 MISSOURI STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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