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
Phone: (203) 255-4325
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649209123 | NPPES |
| Connecticut | MEDICAID | 004223385 |
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