Brennecke, Cecilia Margaret

Brennecke, Cecilia Margaret is an individual health care provider with primary practice located at 601 N Caroline St , Baltimore MD 21287-0006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Brennecke, Cecilia Margaret can be contacted via phone (410) 583-2702.

Contact Information

Primary practice address
601 N Caroline St Baltimore MD 21287-0006
Phone: (410) 583-2702
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0034904 Maryland

Profile Details

NPI number 1043282411
LBN Legal business name Brennecke, Cecilia Margaret
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Feb 4th, 2013 - about 11 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 1043282411 NPPES
Maryland Other J062 B/C B/S
Maryland Other KA80 B/C B/S
Maryland MEDICAID 445471500 B/C B/S
Maryland Other 2849 B/C B/S

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