Brenner, Richard Paul

Brenner, Richard Paul is an individual health care provider with primary practice located at 2175 Knorr St , Philadelphia PA 19149-2307. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Brenner, Richard Paul can be contacted via phone (215) 624-2491.

Contact Information

Primary practice address
2175 Knorr St Philadelphia PA 19149-2307
Fax: (215) 624-4259
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS003538L Pennsylvania

Profile Details

NPI number 1235138769
LBN Legal business name Brenner, Richard Paul
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 8th, 2007 - about 15 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 1235138769 NPPES
Pennsylvania Other 0268562004 CIGNA HEALTHCARE
Pennsylvania Other 0058482000 CIGNA HEALTHCARE
Pennsylvania Other 19355 CIGNA HEALTHCARE

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