Brena, Anne E
Brena, Anne E is an individual health care provider with primary practice located at 353 Blair Park Rd , Williston VT 05495-7530. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Brena, Anne E can be contacted via phone (802) 847-1470.Contact Information
Primary practice address
353 Blair Park Rd
Williston VT 05495-7530
Phone: (802) 847-1470
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 223593 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 042.0012529 | Vermont |
Profile Details
| NPI number | 1790870723 |
|---|---|
| LBN Legal business name | Brena, Anne E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Oct 16th, 2012 - about 14 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 | 1790870723 | NPPES |
| New York | Other | P52210 | EMPIRE BC/BS LEGACY |
| New York | MEDICAID | 002242639 | EMPIRE BC/BS LEGACY |
| New York | Other | P010223593 | EMPIRE BC/BS LEGACY |
| New York | Other | 116300 | EMPIRE BC/BS LEGACY |
| New York | Other | 000499880001 | EMPIRE BC/BS LEGACY |
| New York | Other | 7797529 | EMPIRE BC/BS LEGACY |
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