Prenner, Bruce M

Prenner, Bruce M is an individual health care provider with primary practice located at 2655 Camino Del Rio N # 120, San Diego CA 92108-1633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Prenner, Bruce M can be contacted via phone (619) 286-6687.

Contact Information

Primary practice address
2655 Camino Del Rio N # 120 San Diego CA 92108-1633
Phone: (619) 286-6687
Fax: (619) 286-6695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X G21931 California

Profile Details

NPI number 1104882729
LBN Legal business name Prenner, Bruce M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Nov 10th, 2015 - about 11 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 1104882729 NPPES
California MEDICAID 00G219310
California Other GW214Z

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