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Contact Information

JENNIFER D BRAKEMAN, LM
1076 W HAYDEN AVE
HAYDEN, ID83835
 Phone: 208-772-2823
 Fax: 208-209-3120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for JENNIFER D BRAKEMAN · (Female)

NPI Number 1205369436
Status Active
Credentials LM
Entity Individual
Enumeration date 04/05/2017
Last updated 04/05/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # MID-57
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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