Brennan, Michael J

Brennan, Michael J is an sole proprietor health care provider with primary practice located at 2222 E Highland Ave # 425, Phoenix AZ 85016-4872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Brennan, Michael J can be contacted via phone (602) 667-6640.

Contact Information

Primary practice address
2222 E Highland Ave # 425 Phoenix AZ 85016-4872
Fax: (602) 667-3191
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 21272 Arizona

Profile Details

NPI number 1396714762
LBN Legal business name Brennan, Michael J
Credentials MD PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2006
Last updated May 24th, 2011 - about 15 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 1396714762 NPPES
Arizona MEDICAID 125436

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