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:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1225001746 | NPPES |
| Michigan | MEDICAID | 4815088 |
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