Wainwright, Brent Denman
Wainwright, Brent Denman is an individual health care provider with primary practice located at 18 E Shore Rd , New Preston CT 06777-1628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Wainwright, Brent Denman can be contacted via phone (484) 868-9998.Contact Information
Primary practice address
18 E Shore Rd
New Preston CT 06777-1628
Phone: (484) 868-9998
Fax: (860) 393-1079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 234018 | New York |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 43818 | Connecticut |
Profile Details
| NPI number | 1598737462 |
|---|---|
| LBN Legal business name | Wainwright, Brent Denman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Oct 10th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598737462 | NPPES |
| New York | MEDICAID | 03454060 | |
| New York | Other | A400093374 |
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