Brenneman, Terry Richard

Brenneman, Terry Richard is an sole proprietor health care provider with primary practice located at 5816 Creedmoor Rd Suite 104, Raleigh NC 27612-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brenneman, Terry Richard can be contacted via phone (919) 787-9555.

Contact Information

Primary practice address
5816 Creedmoor Rd Suite 104 Raleigh NC 27612-2310
Fax: (919) 510-5111
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27129 North Carolina

Profile Details

NPI number 1588848006
LBN Legal business name Brenneman, Terry Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2007
Last updated Dec 19th, 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 1588848006 NPPES
North Carolina Other 18164 BLUE CROSS

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