Brennan, Theresa Conena
Brennan, Theresa Conena is an sole proprietor health care provider with primary practice located at 200 Harrison Ave Fl 2 , Boston MA 02111-1836. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Brennan, Theresa Conena can be contacted via phone (617) 291-2217.Contact Information
Primary practice address
200 Harrison Ave Fl 2
Boston MA 02111-1836
Phone: (617) 291-2217
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH5588 | Massachusetts |
Profile Details
| NPI number | 1063902906 |
|---|---|
| LBN Legal business name | Brennan, Theresa Conena |
| Credentials | RDH BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2018 |
| Last updated | May 16th, 2018 - about 7 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 | 1063902906 | NPPES |
| Massachusetts | MEDICAID | 110000011J |
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