Brenner, Peter A.

Brenner, Peter A. is an individual health care provider with primary practice located at 1350 Cleveland St , Greenville SC 29607-2408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brenner, Peter A. can be contacted via phone (864) 271-1450.

Contact Information

Primary practice address
1350 Cleveland St Greenville SC 29607-2408
Phone: (864) 271-1450
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7125 South Carolina

Profile Details

NPI number 1659310563
LBN Legal business name Brenner, Peter A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 31st, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659310563 NPPES
South Carolina MEDICAID 071255
South Carolina Other 57-1004971003
South Carolina Other 4556601

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