Bertrand, Brennan J

Bertrand, Brennan J is an individual health care provider with primary practice located at 2625 E Southlake Blvd Ste 180 , Southlake TX 76092-8042. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Bertrand, Brennan J can be contacted via phone (800) 404-6050.

Contact Information

Primary practice address
2625 E Southlake Blvd Ste 180 Southlake TX 76092-8042
Fax: (866) 313-3397
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 10964 Texas

Profile Details

NPI number 1972659431
LBN Legal business name Bertrand, Brennan J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Nov 29th, 2023 - about last year

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 1972659431 NPPES
Texas Other 10964 CHIROPRACTIC LICENSE

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