Behrendt, Brian

Behrendt, Brian is an individual health care provider with primary practice located at 160 London Mountain View Dr , London KY 40741-6601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Behrendt, Brian can be contacted via phone (606) 864-0770.

Contact Information

Primary practice address
160 London Mountain View Dr London KY 40741-6601
Phone: (606) 864-0770
Fax: (606) 864-1461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TC016 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1195 Kentucky

Profile Details

NPI number 1174757900
LBN Legal business name Behrendt, Brian
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2009
Last updated Mar 10th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174757900 NPPES
Kentucky MEDICAID 7100093470

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