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Contact Information

BRENTON NEUHARTH, ATC
4795 UNIVERSITY BLVD
JUPITER, FL33458
 Phone: 608-844-4664
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for BRENTON NEUHARTH · (Male)

NPI # 1508355462
Status Active
Credentials ATC
Entity Individual
Enumeration date 05/07/2018
Last updated 05/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 4747
  • MO License # 2015008156
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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