Brenner, Mandy Dawn

Brenner, Mandy Dawn is an individual health care provider with primary practice located at 2121 Lake Ave , Fort Wayne IN 46805-5100. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered, which is considered as her primary health care specialty. Brenner, Mandy Dawn can be contacted via phone (260) 426-5431.

Contact Information

Primary practice address
2121 Lake Ave Fort Wayne IN 46805-5100
Phone: (260) 426-5431
Fax: (260) 421-1019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered 227900000X 30006990A Indiana

Profile Details

NPI number 1588318471
LBN Legal business name Brenner, Mandy Dawn
Credentials Registered Respiratory Therapist (RRT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2022
Last updated Feb 9th, 2022 - about 4 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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