Brentnall, Teresa A
Brentnall, Teresa A is an individual health care provider with primary practice located at University Of Washington Medical Ctr 1959 Ne Pacific St, Seattle WA 98195-6160. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Brentnall, Teresa A can be contacted via phone (206) 598-4377.Contact Information
Primary practice address
University Of Washington Medical Ctr 1959 Ne Pacific St
Seattle WA 98195-6160
Phone: (206) 598-4377
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD00029112 | Washington |
Profile Details
NPI number | 1104916063 |
---|---|
LBN Legal business name | Brentnall, Teresa A |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | Dec 28th, 2012 - about 13 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 | 1104916063 | NPPES |
Washington | MEDICAID | 1104916063 | |
Washington | Other | 9703 | |
Washington | Other | 0230737 |
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