Durr, Brendan Thomas

Durr, Brendan Thomas is an individual health care provider with primary practice located at 610 N Michigan St Ste 400 , South Bend IN 46601-1081. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Durr, Brendan Thomas can be contacted via phone (574) 647-8120.

Contact Information

Primary practice address
610 N Michigan St Ste 400 South Bend IN 46601-1081
Phone: (574) 647-8120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 02006354A Indiana

Profile Details

NPI number 1205220456
LBN Legal business name Durr, Brendan Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2015
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205220456 NPPES
Indiana MEDICAID 300050074

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