Brenner, Stephen

Brenner, Stephen is an individual health care provider with primary practice located at 129 York St , New Haven CT 06511-5608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brenner, Stephen can be contacted via phone (203) 789-8888.

Contact Information

Primary practice address
129 York St New Haven CT 06511-5608
Phone: (203) 789-8888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17408 Connecticut

Profile Details

NPI number 1730188764
LBN Legal business name Brenner, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jan 24th, 2013 - about 13 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 1730188764 NPPES
Connecticut Other 010017408CT03 BLUE CROSS BLUE SHIELD
Connecticut Other NHP118 BLUE CROSS BLUE SHIELD
Connecticut Other 1051333 BLUE CROSS BLUE SHIELD
Connecticut Other 757491 BLUE CROSS BLUE SHIELD

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