Brenner, Alan Steven

Brenner, Alan Steven is an individual health care provider with primary practice located at 201 Cedar St Se Suite 4600, Albuquerque NM 87106-4917. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Brenner, Alan Steven can be contacted via phone (505) 563-6450.

Contact Information

Primary practice address
201 Cedar St Se Suite 4600 Albuquerque NM 87106-4917
Phone: (505) 563-6450
Fax: (505) 563-6484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X MD00016472 Washington
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 8123 South Dakota
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X MD2012-0882 New Mexico
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X MD2012-0882 New Mexico

Profile Details

NPI number 1063565075
LBN Legal business name Brenner, Alan Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2007
Last updated May 13th, 2013 - about 12 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 1063565075 NPPES
Washington MEDICAID 1158609
Washington Other G000100601
Washington MEDICAID 6301580

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