Brauer, Marvin Donald
Brauer, Marvin Donald is an individual health care provider with primary practice located at 2 W Fern Ave , Redlands CA 92373. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Brauer, Marvin Donald can be contacted via phone (909) 793-3311.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101045088 | Virginia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | G156438 | California |
Profile Details
| NPI number | 1043219314 |
|---|---|
| LBN Legal business name | Brauer, Marvin Donald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Aug 28th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043219314 | NPPES |
| Virginia | MEDICAID | 006037011 | |
| Virginia | Other | 068517 |
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