Brennan, Stephen R
Brennan, Stephen R is an sole proprietor health care provider with primary practice located at 109 Woodbridge Rd , York ME 03909-1450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brennan, Stephen R can be contacted via phone (207) 363-5437.Contact Information
Primary practice address
109 Woodbridge Rd
York ME 03909-1450
Phone: (207) 363-5437
Fax: (207) 351-1722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 1333 | Maine |
Profile Details
| NPI number | 1043226236 |
|---|---|
| LBN Legal business name | Brennan, Stephen R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1043226236 | NPPES |
| Texas | Other | 2375017 | AETNA |
| Texas | Other | 9022900 | AETNA |
| Texas | Other | 00007M | AETNA |
| Texas | Other | 121460C | AETNA |
| Texas | Other | ME0081 | AETNA |
| Texas | MEDICAID | 30220763 | AETNA |
| Texas | Other | 027530 | AETNA |
| Texas | Other | 040854YPME 01 | AETNA |
| Texas | Other | E39853 | AETNA |
| Texas | Other | CIGNA | AETNA |
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