Brenneis, C. Brooks
Brenneis, C. Brooks is an sole proprietor health care provider with primary practice located at 313 Price Pl Ste 203 , Madison WI 53705-3262. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Brenneis, C. Brooks can be contacted via phone (608) 238-2301.Contact Information
Primary practice address
313 Price Pl Ste 203
Madison WI 53705-3262
Phone: (608) 238-2301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 573057 | Wisconsin |
Profile Details
| NPI number | 1710918628 |
|---|---|
| LBN Legal business name | Brenneis, C. Brooks |
| Credentials | PH. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Sep 13th, 2007 - about 19 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 | 1710918628 | NPPES |
| Wisconsin | MEDICAID | 39065800 |
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