Brentar, John T.

Brentar, John T. is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Brentar, John T. can be contacted via phone (650) 723-4000.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY13146 California

Profile Details

NPI number 1932234838
LBN Legal business name Brentar, John T.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Mar 24th, 2008 - about 16 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 1932234838 NPPES
California MEDICAID PSY131460

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