Brenneman, Stephanie
Brenneman, Stephanie is an sole proprietor health care provider with primary practice located at 2405 W Lexington Ave , Elkhart IN 46514-1417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brenneman, Stephanie can be contacted via phone (574) 524-7575.Contact Information
Primary practice address
2405 W Lexington Ave
Elkhart IN 46514-1417
Phone: (574) 524-7575
Fax: (574) 524-7576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71004767A | Indiana |
Profile Details
| NPI number | 1932520426 |
|---|---|
| LBN Legal business name | Brenneman, Stephanie |
| Credentials | RN, MSN, FNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2013 |
| Last updated | Jan 14th, 2023 - about 3 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 | 1932520426 | NPPES |
| Indiana | MEDICAID | 201209700 |
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