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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063565075 | NPPES |
Washington | MEDICAID | 1158609 | |
Washington | Other | G000100601 | |
Washington | MEDICAID | 6301580 |
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