Brendan Coburn, RD
Dietitian, Registered in Manchester, Connecticut
1720480965- Practice location
- 595 Main St, Manchester, CT 06040-5160
- Phone
- 860-559-5178
- Fax
- —
- Last updated
- September 18, 2014
Brendan Coburn is a Dietitian, Registered based in Manchester, CT. Brendan Coburn practices in Manchester, CT and has the professional credentials of RD. The NPI Number for Brendan Coburn is 1720480965 and holds a License No. 03-912955 (CT). The current practice location address for Brendan Coburn is 595 Main St, Manchester, CT 06040-5160 and can be reached out via phone at 860-559-5178.
Provider Profile Details
- NPI Number
- 1720480965
- Provider Name
- Brendan Coburn
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 595 Main St, Manchester, CT 06040-5160
- Phone Number
- 860-559-5178
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 18, 2014
- Last Update Date
- September 18, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 595 Main St
Manchester, CT 06040-5160 - City
- Manchester
- State
- Connecticut
- Zip
- 06040-5160
- Phone Number
- 860-559-5178
Provider Business Mailing Address Details
- Address
- 568 Foster St
South Windsor, CT 06074-2935 - City
- South Windsor
- State
- CT
- Zip
- 06074-2935
- Phone Number
- 860-559-5178
License Information
- License Number
- 03-912955
- License State
- CT
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Manchester, CT
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- Bridget M LavoieDietitian, Registered · NPI 1831057082
- Catherine N St.charles, RDDietitian, Registered · NPI 1275867954
- Cornerstone Nutrition, LLCDietitian, Registered · NPI 1679984488
- Dr. Patrice A Hubert, PHD, RDNDietitian, Registered · NPI 1063140515
- Jessie S ManfreDietitian, Registered · NPI 1659299238
Frequently Asked Questions
What is the NPI number of Brendan Coburn, RD?
The NPI number of Brendan Coburn, RD is 1720480965. It was assigned on September 18, 2014 and is currently active in the NPPES registry.
What is the specialty of Brendan Coburn, RD?
Brendan Coburn, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 03-912955.
Where does Brendan Coburn, RD practice?
The practice location is 595 Main St, Manchester, CT 06040-5160. The office can be reached at 860-559-5178 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720480965 directly on the NPPES registry website.