Hennemann, Brad E.

Hennemann, Brad E. is an individual health care provider with primary practice located at 212 Hospital Lane Suite 101, Perryville MO 63775-4204. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hennemann, Brad E. can be contacted via phone (573) 547-7888.

Contact Information

Primary practice address
212 Hospital Lane Suite 101 Perryville MO 63775-4204
Phone: (573) 547-7888
Fax: (573) 547-5481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 151241 Missouri

Profile Details

NPI number 1760574438
LBN Legal business name Hennemann, Brad E.
Credentials APRN, BC-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated May 1st, 2008 - about 18 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 1760574438 NPPES
Missouri MEDICAID 429126204

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