Brenner, David Lawrence

Brenner, David Lawrence is an individual health care provider with primary practice located at 2131 S 17Th St , Wilmington NC 28401-7407. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Brenner, David Lawrence can be contacted via phone (910) 815-5830.

Contact Information

Primary practice address
2131 S 17Th St Wilmington NC 28401-7407
Phone: (910) 815-5830
Fax: (910) 815-5698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 008246 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-02442 North Carolina

Profile Details

NPI number 1790878304
LBN Legal business name Brenner, David Lawrence
Credentials RPA-C, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jun 26th, 2014 - 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 1790878304 NPPES
North Carolina MEDICAID 8102441
North Carolina MEDICAID 1790878304

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