Brenner, Henderson B
Brenner, Henderson B is an individual health care provider with primary practice located at 576 Jefferson Ave , Fort Eustis VA 23604-1602. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Brenner, Henderson B can be contacted via phone (757) 314-7500.Contact Information
Primary practice address
576 Jefferson Ave
Fort Eustis VA 23604-1602
Phone: (757) 314-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | 1109718 | Texas |
Profile Details
| NPI number | 1598742694 |
|---|---|
| LBN Legal business name | Brenner, Henderson B |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598742694 | NPPES |
| Texas | Other | 1109718 | PHYSICAL THERAPY LICENSE |
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