Brenner, Richard J.

Brenner, Richard J. is an individual health care provider with primary practice located at 1600 Divisadero St , San Francisco CA 94115-3010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Brenner, Richard J. can be contacted via phone (415) 885-7898.

Contact Information

Primary practice address
1600 Divisadero St San Francisco CA 94115-3010
Phone: (415) 885-7898
Fax: (415) 885-7829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X G31972 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G31972 California

Profile Details

NPI number 1710942560
LBN Legal business name Brenner, Richard J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 21st, 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 1710942560 NPPES
California MEDICAID 0G3197200

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