Leopold Brinkman, Andrea Renee
Leopold Brinkman, Andrea Renee is an individual health care provider with primary practice located at 2969 Blue Jacket Court , Lima OH 45806. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Leopold Brinkman, Andrea Renee can be contacted via phone (419) 229-3007.Contact Information
Primary practice address
2969 Blue Jacket Court
Lima OH 45806
Phone: (419) 229-3007
Fax: (419) 229-0214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 30021126 | Ohio |
Profile Details
| NPI number | 1073604930 |
|---|---|
| LBN Legal business name | Leopold Brinkman, Andrea Renee |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1073604930 | NPPES |
| Ohio | MEDICAID | 2354429 |
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