Brenner, David Samuel

Brenner, David Samuel is an individual health care provider with primary practice located at 640 S State St , Dover DE 19901-3530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Brenner, David Samuel can be contacted via phone (302) 744-7050.

Contact Information

Primary practice address
640 S State St Dover DE 19901-3530
Phone: (302) 744-7050
Fax: (302) 744-7682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X C10005985 Delaware
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X D0051154 Maryland

Profile Details

NPI number 1053392340
LBN Legal business name Brenner, David Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Apr 11th, 2012 - 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 1053392340 NPPES
Delaware MEDICAID 000164805

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