Brennan, Beverly A.

Brennan, Beverly A. is an individual health care provider with primary practice located at 600 Primrose St , Haverhill MA 01830. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Brennan, Beverly A. can be contacted via phone (978) 469-7100.

Contact Information

Primary practice address
600 Primrose St Haverhill MA 01830
Fax: (978) 469-7199
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 206547 Massachusetts

Profile Details

NPI number 1174519730
LBN Legal business name Brennan, Beverly A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 1st, 2019 - about 5 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 1174519730 NPPES
Massachusetts Other 1174519730 AETNA HMO
Massachusetts Other 0029557 AETNA HMO
Massachusetts Other 1174519730 AETNA HMO
Massachusetts Other P00258103 AETNA HMO
Massachusetts Other 04-09138 AETNA HMO
Massachusetts Other G43721 AETNA HMO
Massachusetts Other 690835 AETNA HMO
Massachusetts Other 5731408 AETNA HMO
Massachusetts Other 683113 AETNA HMO
Massachusetts Other J29478 AETNA HMO
Massachusetts Other 206547 AETNA HMO
Massachusetts Other 30205508 AETNA HMO
Massachusetts Other 967080 AETNA HMO
Massachusetts MEDICAID 110041739A AETNA HMO
Massachusetts Other 7241783 AETNA HMO

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