Brandt, Penny Sue
Brandt, Penny Sue is an individual health care provider with primary practice located at Dept Of Pediatrics Msc 105590 1 Unm, Albuquerque NM 87131-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brandt, Penny Sue can be contacted via phone (505) 272-5551.Contact Information
Primary practice address
Dept Of Pediatrics Msc 105590 1 Unm
Albuquerque NM 87131-0001
Phone: (505) 272-5551
Fax: (505) 272-2374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A136506 | New Mexico |
Profile Details
| NPI number | 1225079338 |
|---|---|
| LBN Legal business name | Brandt, Penny Sue |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | May 2nd, 2012 - about 13 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 | 1225079338 | NPPES |
| New Mexico | MEDICAID | 33233 |
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