Brennan, Fred H

Brennan, Fred H is an individual health care provider with primary practice located at 807 N Myrtle Ave , Clearwater FL 33755-4254. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Brennan, Fred H can be contacted via phone (727) 467-2400.

Contact Information

Primary practice address
807 N Myrtle Ave Clearwater FL 33755-4254
Phone: (727) 467-2400
Fax: (727) 467-2477
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13446 New Hampshire
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 13446 New Hampshire
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 0102201136 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2066 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS14442 Florida

Profile Details

NPI number 1043282767
LBN Legal business name Brennan, Fred H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Mar 14th, 2022 - about 2 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 1043282767 NPPES
New Hampshire MEDICAID 30225211
New Hampshire MEDICAID 021438100
New Hampshire MEDICAID 432690199

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