Brentjens, Mathijs Henri
Brentjens, Mathijs Henri is an individual health care provider with primary practice located at 222 Virginia Rd , Edenton NC 27932-9667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Brentjens, Mathijs Henri can be contacted via phone (252) 752-4124.Contact Information
Primary practice address
222 Virginia Rd
Edenton NC 27932-9667
Phone: (252) 752-4124
Fax: (252) 758-8954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 200500012 | North Carolina |
Profile Details
| NPI number | 1417966409 |
|---|---|
| LBN Legal business name | Brentjens, Mathijs Henri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Apr 7th, 2009 - about 17 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 | 1417966409 | NPPES |
| North Carolina | Other | P00234813 | RAILROAD MEDICARE |
| North Carolina | MEDICAID | 5902501 | RAILROAD MEDICARE |
| North Carolina | Other | 140T2 | RAILROAD MEDICARE |
| North Carolina | Other | 8899677 | RAILROAD MEDICARE |
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