Brennan, Timothy A

Brennan, Timothy A is an individual health care provider with primary practice located at 29200 Harper Ave , Saint Clair Shores MI 48081-1274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Brennan, Timothy A can be contacted via phone (586) 777-7577.

Contact Information

Primary practice address
29200 Harper Ave Saint Clair Shores MI 48081-1274
Phone: (586) 777-7577
Fax: (586) 777-6841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X TB038759 Michigan

Profile Details

NPI number 1356421135
LBN Legal business name Brennan, Timothy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Sep 10th, 2008 - about 15 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 1356421135 NPPES
Michigan MEDICAID 2912752
Michigan Other 383022841
Michigan Other C6897

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