Brenneman, Maryann

Brenneman, Maryann is an individual health care provider with primary practice located at 435 S Burnett Rd , Springfield OH 45505-2717. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Brenneman, Maryann can be contacted via phone (937) 325-8796.

Contact Information

Primary practice address
435 S Burnett Rd Springfield OH 45505-2717
Phone: (937) 325-8796
Fax: (937) 325-3640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A-0451 Ohio

Profile Details

NPI number 1861506149
LBN Legal business name Brenneman, Maryann
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861506149 NPPES
Ohio Other 000000009377 ANTHEM BLUE CROSS
Ohio MEDICAID 2373506 ANTHEM BLUE CROSS

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