Brennan, Wade Matthew

Brennan, Wade Matthew is an sole proprietor health care provider with primary practice located at 1841 Madora Ave , Douglas WY 82633-3057. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Brennan, Wade Matthew can be contacted via phone (307) 358-2846.

Contact Information

Primary practice address
1841 Madora Ave Douglas WY 82633-3057
Phone: (307) 358-2846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1780962001
LBN Legal business name Brennan, Wade Matthew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2011
Last updated Aug 3rd, 2011 - about 14 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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