Short, Brenda N
Short, Brenda N is an sole proprietor health care provider with primary practice located at 1145 Sagamore Ave , Portsmouth NH 03801-5503. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Short, Brenda N can be contacted via phone (603) 431-6703.Contact Information
Primary practice address
1145 Sagamore Ave
Portsmouth NH 03801-5503
Phone: (603) 431-6703
Fax: (603) 430-3753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1861665812 |
|---|---|
| LBN Legal business name | Short, Brenda N |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2008 |
| Last updated | Apr 10th, 2008 - about 16 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 | 1861665812 | NPPES |
| New Hampshire | Other | 7706655Y0NH01 | BHN |
| New Hampshire | MEDICAID | 99003227 | BHN |
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