Brentjens, Mathijs Henri

Brentjens, Mathijs Henri is an individual health care provider with primary practice located at 222 Virginia Rd , Edenton NC 27932-9667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Brentjens, Mathijs Henri can be contacted via phone (252) 752-4124.

Contact Information

Primary practice address
222 Virginia Rd Edenton NC 27932-9667
Phone: (252) 752-4124
Fax: (252) 758-8954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 200500012 North Carolina

Profile Details

NPI number 1417966409
LBN Legal business name Brentjens, Mathijs Henri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Apr 7th, 2009 - about 15 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 1417966409 NPPES
North Carolina Other P00234813 RAILROAD MEDICARE
North Carolina MEDICAID 5902501 RAILROAD MEDICARE
North Carolina Other 140T2 RAILROAD MEDICARE
North Carolina Other 8899677 RAILROAD MEDICARE

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