Brenner, Andrew S
Brenner, Andrew S is an sole proprietor health care provider with primary practice located at 1570 Paseo Grande #2024, Bullhead City AZ 86442-8523. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brenner, Andrew S can be contacted via phone (217) 621-9007.Contact Information
Primary practice address
1570 Paseo Grande #2024
Bullhead City AZ 86442-8523
Phone: (217) 621-9007
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036052639 | Illinois |
Profile Details
| NPI number | 1467489435 |
|---|---|
| LBN Legal business name | Brenner, Andrew S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jun 6th, 2008 - about 18 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 | 1467489435 | NPPES |
| Illinois | MEDICAID | 036052639 |
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