Brenner, Kurt Gordon
Brenner, Kurt Gordon is an individual health care provider with primary practice located at 115 Mill St , Belmont MA 02478-1041. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brenner, Kurt Gordon can be contacted via phone (617) 855-2999.Contact Information
Primary practice address
115 Mill St
Belmont MA 02478-1041
Phone: (617) 855-2999
Fax: (617) 855-3776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7753 | Massachusetts |
Profile Details
| NPI number | 1649226259 |
|---|---|
| LBN Legal business name | Brenner, Kurt Gordon |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649226259 | NPPES |
| Massachusetts | Other | W05954 | BCBS |
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