Fenneman, Brooke A
Fenneman, Brooke A is an individual health care provider with primary practice located at 7240 Shadeland Sta Ste 200 , Indianapolis IN 46256-3968. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Fenneman, Brooke A can be contacted via phone (317) 621-2677.Contact Information
Primary practice address
7240 Shadeland Sta Ste 200
Indianapolis IN 46256-3968
Phone: (317) 621-2677
Fax: (317) 621-2676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 964543 | Indiana |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 37002005A | Indiana |
Profile Details
| NPI number | 1669131850 |
|---|---|
| LBN Legal business name | Fenneman, Brooke A |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2021 |
| Last updated | May 16th, 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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