Brevik, Jeannine Marie

Brevik, Jeannine Marie is an sole proprietor health care provider with primary practice located at 12351 Perry Hwy , Wexford PA 15090-8344. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Brevik, Jeannine Marie can be contacted via phone (724) 939-3673.

Contact Information

Primary practice address
12351 Perry Hwy Wexford PA 15090-8344
Phone: (724) 939-3673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD459364 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD459364 Pennsylvania

Profile Details

NPI number 1679912497
LBN Legal business name Brevik, Jeannine Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2013
Last updated Nov 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679912497 NPPES
Pennsylvania MEDICAID 103243829
Pennsylvania Other 13963611

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