Brenner, Joseph J
Brenner, Joseph J is an sole proprietor health care provider with primary practice located at 697 Grand Ave , Hartford WI 53027-2207. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Brenner, Joseph J can be contacted via phone (262) 673-5449.Contact Information
Primary practice address
697 Grand Ave
Hartford WI 53027-2207
Phone: (262) 673-5449
Fax: (262) 560-0903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5000878 | Wisconsin |
Profile Details
| NPI number | 1639394679 |
|---|---|
| LBN Legal business name | Brenner, Joseph J |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2007 |
| Last updated | May 27th, 2011 - about 14 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 | 1639394679 | NPPES |
| Wisconsin | MEDICAID | 33542400 |
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