Brennan, Joanne
Brennan, Joanne is an sole proprietor health care provider with primary practice located at 104 Wohseepee Dr , Brightwaters NY 11718-1816. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Brennan, Joanne can be contacted via phone (631) 666-9029.Contact Information
Primary practice address
104 Wohseepee Dr
Brightwaters NY 11718-1816
Phone: (631) 666-9029
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | 291864-1 | New York |
Profile Details
| NPI number | 1649455155 |
|---|---|
| LBN Legal business name | Brennan, Joanne |
| Credentials | RN, CPN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2008 |
| Last updated | Jan 2nd, 2008 - about 18 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 | 1649455155 | NPPES |
| New York | MEDICAID | 02498240 |
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