Brennan, Jillian Leigh

Brennan, Jillian Leigh is an individual health care provider with primary practice located at 617 Riverside Ave , Burlington VT 05401-1601. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Brennan, Jillian Leigh can be contacted via phone (802) 264-8158.

Contact Information

Primary practice address
617 Riverside Ave Burlington VT 05401-1601
Phone: (802) 264-8158
Fax: (802) 860-4313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0420012666 Vermont
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 042.0012666 Vermont

Profile Details

NPI number 1942520796
LBN Legal business name Brennan, Jillian Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2010
Last updated Apr 16th, 2015 - about 11 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 1942520796 NPPES
Vermont MEDICAID 1022382
Vermont Other P01338829

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