Brandenburg, Mary Pratt

Brandenburg, Mary Pratt is an sole proprietor health care provider with primary practice located at 5570 Sterrett Pl Suite 308, Columbia MD 21044-2641. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Brandenburg, Mary Pratt can be contacted via phone (410) 997-7040.

Contact Information

Primary practice address
5570 Sterrett Pl Suite 308 Columbia MD 21044-2641
Fax: (410) 997-7041
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X U00196 Maryland

Profile Details

NPI number 1235258583
LBN Legal business name Brandenburg, Mary Pratt
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Feb 24th, 2010 - about 14 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 1235258583 NPPES
Maryland Other 412684-02 CAREFIRST NON-PAR #

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