Brenner, Henderson B

Brenner, Henderson B is an individual health care provider with primary practice located at 576 Jefferson Ave , Fort Eustis VA 23604-1602. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Brenner, Henderson B can be contacted via phone (757) 314-7500.

Contact Information

Primary practice address
576 Jefferson Ave Fort Eustis VA 23604-1602
Phone: (757) 314-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 1109718 Texas

Profile Details

NPI number 1598742694
LBN Legal business name Brenner, Henderson B
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jul 8th, 2007 - about 18 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 1598742694 NPPES
Texas Other 1109718 PHYSICAL THERAPY LICENSE

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