Brenis, Mark Ian

Brenis, Mark Ian is an sole proprietor health care provider with primary practice located at 47 Penny Ln Suite 1, Watsonville CA 95076-6055. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Brenis, Mark Ian can be contacted via phone (831) 728-8844.

Contact Information

Primary practice address
47 Penny Ln Suite 1 Watsonville CA 95076-6055
Phone: (831) 728-8844
Fax: (831) 763-1001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3289 California
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X E3289 California
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X E3289 California
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E3289 California

Profile Details

NPI number 1801858048
LBN Legal business name Brenis, Mark Ian
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated Aug 31st, 2016 - about 9 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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