Brezenoff, Leigh S
Brezenoff, Leigh S is an individual health care provider with primary practice located at 245 Alvord Park Rd , Torrington CT 06790. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Brezenoff, Leigh S can be contacted via phone (860) 482-8539.Contact Information
Primary practice address
245 Alvord Park Rd
Torrington CT 06790
Phone: (860) 482-8539
Fax: (860) 482-0258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 041605 | Connecticut |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 041605 | Connecticut |
Profile Details
| NPI number | 1972568616 |
|---|---|
| LBN Legal business name | Brezenoff, Leigh S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Jun 17th, 2021 - about 5 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 | 1972568616 | NPPES |
| Connecticut | Other | 010041605CT01 | BC |
| Connecticut | Other | 7957083 | BC |
| Connecticut | MEDICAID | 001416058 | BC |
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