Diflorio Brennan, Therese M
Diflorio Brennan, Therese M is an individual health care provider with primary practice located at 517 E Lancaster Ave , Shillington PA 19607-1364. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Diflorio Brennan, Therese M can be contacted via phone (610) 777-7646.Contact Information
Primary practice address
517 E Lancaster Ave
Shillington PA 19607-1364
Phone: (610) 777-7646
Fax: (610) 777-7570
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS-029126-L | Pennsylvania |
Profile Details
NPI number | 1588763486 |
---|---|
LBN Legal business name | Diflorio Brennan, Therese M |
Credentials | DMD, MD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2006 |
Last updated | Jul 12th, 2019 - about 5 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 | 1588763486 | NPPES |
Pennsylvania | MEDICAID | 0018523460002 | |
Pennsylvania | Other | DI1315366 | |
Pennsylvania | Other | 153909 | |
Pennsylvania | Other | 9929126 | |
Pennsylvania | MEDICAID | 0018523460001 | |
Pennsylvania | Other | 02261401 |
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