Brennan, Mark J

Brennan, Mark J is an sole proprietor health care provider with primary practice located at 43650 Garfield Rd , Clinton Township MI 48038-7419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromuscular Medicine, which is considered as his primary health care specialty. Brennan, Mark J can be contacted via phone (586) 263-0820.

Contact Information

Primary practice address
43650 Garfield Rd Clinton Township MI 48038-7419
Phone: (586) 263-0820
Fax: (586) 263-3819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2081N0008X 4301405324 Michigan

Profile Details

NPI number 1225001746
LBN Legal business name Brennan, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Mar 4th, 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 1225001746 NPPES
Michigan MEDICAID 4815088

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