Brenckman, Robert

Brenckman, Robert is an sole proprietor health care provider with primary practice located at 359 Fenn St Administrative Offices, Pittsfield MA 01201-5261. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Brenckman, Robert can be contacted via phone (413) 629-1251.

Contact Information

Primary practice address
359 Fenn St Administrative Offices Pittsfield MA 01201-5261
Phone: (413) 629-1251
Fax: (413) 448-2198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1205192820
LBN Legal business name Brenckman, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2012
Last updated Apr 9th, 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.

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