Western, Brenna
Western, Brenna is an individual health care provider with primary practice located at 9550 San Mateo Blvd Ne Ste A , Albuquerque NM 87113-2313. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Western, Brenna can be contacted via phone (505) 302-6850.Contact Information
Primary practice address
9550 San Mateo Blvd Ne Ste A
Albuquerque NM 87113-2313
Phone: (505) 302-6850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 3659 | New Mexico |
Profile Details
| NPI number | 1154860203 |
|---|---|
| LBN Legal business name | Western, Brenna |
| Credentials | MOT,OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2017 |
| Last updated | Mar 28th, 2021 - about 5 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 | 1154860203 | NPPES |
| New Mexico | Other | 326556 | MEDICARE |
| New Mexico | MEDICAID | 10171568 | MEDICARE |
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