Brennecke, Shari J.

Brennecke, Shari J. is an individual health care provider with primary practice located at 12910 Totem Lake Blvd Ne Suite 101, Kirkland WA 98034-2954. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Brennecke, Shari J. can be contacted via phone (425) 814-5080.

Contact Information

Primary practice address
12910 Totem Lake Blvd Ne Suite 101 Kirkland WA 98034-2954
Fax:
Website:

Health care specialties

Profile Details

NPI number 1831187814
LBN Legal business name Brennecke, Shari J.
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 17 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 1831187814 NPPES
Washington MEDICAID 8379992

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