Brengman, Matthew Lester
Brengman, Matthew Lester is an individual health care provider with primary practice located at 5855 Bremo Rd Suite 406, Richmond VA 23226-1930. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brengman, Matthew Lester can be contacted via phone (804) 285-4133.Contact Information
Primary practice address
5855 Bremo Rd Suite 406
Richmond VA 23226-1930
Phone: (804) 285-4133
Fax: (804) 622-2224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101235980 | Virginia |
Profile Details
| NPI number | 1326096272 |
|---|---|
| LBN Legal business name | Brengman, Matthew Lester |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Feb 4th, 2022 - about 4 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 | 1326096272 | NPPES |
| Virginia | Other | C06778 | GROUP PTAN |
| Virginia | MEDICAID | 010074142 | GROUP PTAN |
| Virginia | Other | C06695 | GROUP PTAN |
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