Neumann, Brenna Jean

Neumann, Brenna Jean is an individual health care provider with primary practice located at 100 W Dickson St , Fayetteville AR 72701-5219. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Neumann, Brenna Jean can be contacted via phone (479) 442-6262.

Contact Information

Primary practice address
100 W Dickson St Fayetteville AR 72701-5219
Phone: (479) 442-6262
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10052 Arkansas
Pharmacy Service Providers / Pharmacist 183500000X 2002027543 Missouri

Profile Details

NPI number 1174526842
LBN Legal business name Neumann, Brenna Jean
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated May 26th, 2023 - about 2 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 1174526842 NPPES
Missouri MEDICAID 356006411

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