Individual
DR. GREGORY P BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1680 COOPER FOSTER PARK RD W, LORAIN, OH 44053-3657
(440) 282-1920
(440) 282-1925
Mailing address
1680 COOPER FOSTER PARK RD W, LORAIN, OH 44053-3657
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1551
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34164623300
CURRENT PROVIDER ID
OH
Enumeration date
11/22/2006
Last updated
01/23/2012
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