Hennard, Brandi R
Hennard, Brandi R is an individual health care provider with primary practice located at 4320 Diplomacy Drive Suite 3191, Anchorage AK 99508-5925. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Hennard, Brandi R can be contacted via phone (907) 729-4187.Contact Information
Primary practice address
4320 Diplomacy Drive Suite 3191
Anchorage AK 99508-5925
Phone: (907) 729-4187
Fax: (907) 729-4136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 162 | Alaska |
Profile Details
| NPI number | 1578695540 |
|---|---|
| LBN Legal business name | Hennard, Brandi R |
| Credentials | LD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | May 20th, 2011 - about 14 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 | 1578695540 | NPPES |
| Alaska | MEDICAID | DT6552 |
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