Brannan, Michele M

Brannan, Michele M is an individual health care provider with primary practice located at 360 Rte 101 Suite 10, Bedford NH 03110. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brannan, Michele M can be contacted via phone (603) 472-8657.

Contact Information

Primary practice address
360 Rte 101 Suite 10 Bedford NH 03110
Fax: (603) 672-4546
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 24 New Hampshire

Profile Details

NPI number 1790859262
LBN Legal business name Brannan, Michele M
Credentials LICENSED CLINICAL ME
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1790859262 NPPES
Other 29370 NATIONAL BOARD OF CERTIFI
MEDICAID 80009139 NATIONAL BOARD OF CERTIFI
Other 24 NATIONAL BOARD OF CERTIFI

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