Hentrup, Brianne
Hentrup, Brianne is an individual health care provider with primary practice located at 233 Gooding St N , Twin Falls ID 83301-6179. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Hentrup, Brianne can be contacted via phone (208) 736-5048.Contact Information
Primary practice address
233 Gooding St N
Twin Falls ID 83301-6179
Phone: (208) 736-5048
Fax: (208) 735-2126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | Idaho |
Profile Details
| NPI number | 1508289828 |
|---|---|
| LBN Legal business name | Hentrup, Brianne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2014 |
| Last updated | Jan 22nd, 2014 - about 12 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 | 1508289828 | NPPES |
| Idaho | MEDICAID | 1558606962 |
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