Brackenrich, Justin

Brackenrich, Justin is an sole proprietor health care provider with primary practice located at 7600 River Rd , North Bergen NJ 07047-6217. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brackenrich, Justin can be contacted via phone (201) 854-5000.

Contact Information

Primary practice address
7600 River Rd North Bergen NJ 07047-6217
Phone: (201) 854-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MB10252300 New Jersey

Profile Details

NPI number 1669852729
LBN Legal business name Brackenrich, Justin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2015
Last updated Apr 18th, 2019 - about 7 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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