Henninger, Brian J.

Henninger, Brian J. is an sole proprietor health care provider with primary practice located at 1305 Post Rd Ste 301, Fairfield CT 06824-6016. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Homeopath, Allopathic & Osteopathic Physicians / Family Medicine. Other Service Providers / Homeopath is his primary health care specialty. Henninger, Brian J. can be contacted via phone (203) 255-4325.

Contact Information

Primary practice address
1305 Post Rd Ste 301 Fairfield CT 06824-6016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Homeopath 175L00000X 000248 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 000248 Connecticut

Profile Details

NPI number 1649209123
LBN Legal business name Henninger, Brian J.
Credentials N.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Aug 9th, 2013 - about 12 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 1649209123 NPPES
Connecticut MEDICAID 004223385

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