Brennan, Bruce John
Brennan, Bruce John is an individual health care provider with primary practice located at 1003 Walnut St , Elmira NY 14901-1007. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Brennan, Bruce John can be contacted via phone (607) 732-5646.Contact Information
Primary practice address
1003 Walnut St
Elmira NY 14901-1007
Phone: (607) 732-5646
Fax: (607) 732-0373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 380322 |
Profile Details
| NPI number | 1669117032 |
|---|---|
| LBN Legal business name | Brennan, Bruce John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2022 |
| Last updated | May 1st, 2022 - about 3 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 | 1669117032 | NPPES |
| Other | 1457010910 | NPI |
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