Brennick, Jeoffry Bernard
Brennick, Jeoffry Bernard is an individual health care provider with primary practice located at 1 Medical Center Dr Dartmouth-Hitchcock Medical Center, Lebanon NH 03756-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Brennick, Jeoffry Bernard can be contacted via phone (603) 650-5000.Contact Information
Primary practice address
1 Medical Center Dr Dartmouth-Hitchcock Medical Center
Lebanon NH 03756-1000
Phone: (603) 650-5000
Fax: (603) 650-4845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 10604 | New Hampshire |
Profile Details
| NPI number | 1912930017 |
|---|---|
| LBN Legal business name | Brennick, Jeoffry Bernard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Aug 7th, 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 | 1912930017 | NPPES |
| Vermont | MEDICAID | ORE5336 | |
| Vermont | MEDICAID | 30200276 |
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