Brackenrich, Justin
Brackenrich, Justin is an sole proprietor health care provider with primary practice located at 7600 River Rd , North Bergen NJ 07047-6217. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brackenrich, Justin can be contacted via phone (201) 854-5000.Contact Information
Primary practice address
7600 River Rd
North Bergen NJ 07047-6217
Phone: (201) 854-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB10252300 | New Jersey |
Profile Details
NPI number | 1669852729 |
---|---|
LBN Legal business name | Brackenrich, Justin |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 4th, 2015 |
Last updated | Apr 18th, 2019 - about 6 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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