Brennan, Theresa Marie

Brennan, Theresa Marie is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Brennan, Theresa Marie can be contacted via phone (319) 356-1607.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 356-1607
Fax: (319) 356-4552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30434 Iowa
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 30434 Iowa
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 30434 Iowa

Profile Details

NPI number 1063400620
LBN Legal business name Brennan, Theresa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jan 18th, 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 1063400620 NPPES
Iowa Other 52299 WELLMARK BCBS
Iowa MEDICAID 0130765 WELLMARK BCBS

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