Brennan, Jacquelaine Dorothy
Brennan, Jacquelaine Dorothy is an sole proprietor health care provider with primary practice located at 21275 W Vista Royale Dr , Wickenburg AZ 85390-1285. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as her primary health care specialty. Brennan, Jacquelaine Dorothy can be contacted via phone (623) 853-3789.Contact Information
Primary practice address
21275 W Vista Royale Dr
Wickenburg AZ 85390-1285
Phone: (623) 853-3789
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 275317 | Arizona |
Profile Details
| NPI number | 1659003168 |
|---|---|
| LBN Legal business name | Brennan, Jacquelaine Dorothy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2022 |
| Last updated | Jun 24th, 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.
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