Leverenz, Brenda L
Leverenz, Brenda L is an individual health care provider with primary practice located at 1217 Kearney St Suite 1, Port Huron MI 48060-3571. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Leverenz, Brenda L can be contacted via phone (810) 982-2095.Contact Information
Primary practice address
1217 Kearney St Suite 1
Port Huron MI 48060-3571
Phone: (810) 982-2095
Fax: (810) 982-8513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601003344 | Michigan |
Profile Details
| NPI number | 1437125408 |
|---|---|
| LBN Legal business name | Leverenz, Brenda L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Aug 15th, 2012 - 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 | 1437125408 | NPPES |
| Other | P00221152 | PALMETTO RAILROAD MEDICARE |
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