Brenneman, Lisa Fleming

Brenneman, Lisa Fleming is an individual health care provider with primary practice located at 3700 Vartan Way , Harrisburg PA 17110-9441. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Brenneman, Lisa Fleming can be contacted via phone (717) 541-9620.

Contact Information

Primary practice address
3700 Vartan Way Harrisburg PA 17110-9441
Phone: (717) 541-9620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OC002239L Pennsylvania

Profile Details

NPI number 1235273871
LBN Legal business name Brenneman, Lisa Fleming
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jul 28th, 2014 - about 12 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 1235273871 NPPES
Pennsylvania MEDICAID 101211076 0001

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