Brennand, Michael D
Brennand, Michael D is an individual health care provider with primary practice located at 1101 Central Se Pmg Emergency Medicine, Albuquerque NM 87106. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Brennand, Michael D can be contacted via phone (505) 841-1125.Contact Information
Primary practice address
1101 Central Se Pmg Emergency Medicine
Albuquerque NM 87106
Phone: (505) 841-1125
Fax: (505) 841-1737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2006-0047 |
Profile Details
| NPI number | 1013905140 |
|---|---|
| LBN Legal business name | Brennand, Michael D |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Dec 1st, 2023 - about 2 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 | 1013905140 | NPPES |
| New Mexico | MEDICAID | 92534279 |
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