Brenner, Elaine M
Brenner, Elaine M is an individual health care provider with primary practice located at 2300 Haggerty Rd 2150, West Bloomfield MI 48323-2184. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Brenner, Elaine M can be contacted via phone (248) 926-6610.Contact Information
Primary practice address
2300 Haggerty Rd 2150
West Bloomfield MI 48323-2184
Phone: (248) 926-6610
Fax: (248) 926-6611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301053483 | Michigan |
Profile Details
| NPI number | 1255391397 |
|---|---|
| LBN Legal business name | Brenner, Elaine M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jun 28th, 2011 - about 13 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 | 1255391397 | NPPES |
| Michigan | Other | P00055649 | RAILROAD MEDICARE |
| Michigan | Other | 0F37550 | RAILROAD MEDICARE |
| Michigan | Other | 383468933 | RAILROAD MEDICARE |
| Michigan | Other | F01718 | RAILROAD MEDICARE |
| Michigan | Other | 0F37550 | RAILROAD MEDICARE |
| Michigan | MEDICAID | 104530972 | RAILROAD MEDICARE |
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