Brenner, Jeffrey Gerard

Brenner, Jeffrey Gerard is an individual health care provider with primary practice located at 400 E Main St Ste 200, Springport MI 49284-9774. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Brenner, Jeffrey Gerard can be contacted via phone (517) 857-4500.

Contact Information

Primary practice address
400 E Main St Ste 200 Springport MI 49284-9774
Phone: (517) 857-4500
Fax: (517) 857-4510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601001774 Michigan

Profile Details

NPI number 1295863314
LBN Legal business name Brenner, Jeffrey Gerard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Mar 7th, 2023 - about last year

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 1295863314 NPPES
Michigan Other 5601001774 STATE LICENSE

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