Brenzie, Mark A
Brenzie, Mark A is an individual health care provider with primary practice located at 411 W Randolph Rd , Hopewell VA 23860-2938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Brenzie, Mark A can be contacted via phone (804) 414-0312.Contact Information
Primary practice address
411 W Randolph Rd
Hopewell VA 23860-2938
Phone: (804) 414-0312
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 0101238583 | Virginia |
Profile Details
| NPI number | 1427023043 |
|---|---|
| LBN Legal business name | Brenzie, Mark A |
| Credentials | M.D., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Sep 1st, 2021 - about 4 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 | 1427023043 | NPPES |
| Virginia | MEDICAID | 010211247 |
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