Brennan, Jerry M

Brennan, Jerry M is an sole proprietor health care provider with primary practice located at 651 Kaumakani St , Honolulu HI 96825-1827. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Brennan, Jerry M can be contacted via phone (808) 538-0343.

Contact Information

Primary practice address
651 Kaumakani St Honolulu HI 96825-1827
Phone: (808) 538-0343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY-277 Hawaii
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 532-92 Hawaii

Profile Details

NPI number 1063517324
LBN Legal business name Brennan, Jerry M
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Jul 29th, 2011 - about 13 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 1063517324 NPPES
Hawaii Other 067935000 MAGELLAN
Hawaii Other 99-0302920 MAGELLAN
Hawaii Other PSY-277 MAGELLAN
Hawaii Other 00013417 MAGELLAN
Hawaii Other 99-0302920 MAGELLAN
Hawaii Other 01269301 MAGELLAN
Hawaii Other 192826 MAGELLAN
Hawaii Other 99-0302920 MAGELLAN
Hawaii Other 0000013417 MAGELLAN
Hawaii Other 99-0302920 MAGELLAN
Hawaii MEDICAID 01269301 MAGELLAN
Hawaii Other PSY-277 MAGELLAN

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