Brenner, Mark Anthony

Brenner, Mark Anthony is an sole proprietor health care provider with primary practice located at 2380 Troop Drive Suite 201, Sartell MN 56377-4637. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Brenner, Mark Anthony can be contacted via phone (320) 252-5599.

Contact Information

Primary practice address
2380 Troop Drive Suite 201 Sartell MN 56377-4637
Phone: (320) 252-5599
Fax: (320) 253-4585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 2229 Minnesota

Profile Details

NPI number 1013092162
LBN Legal business name Brenner, Mark Anthony
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Jan 4th, 2017 - about 7 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 1013092162 NPPES
Minnesota Other 26817BR BLUECROSS/BLUE SHIELD
Minnesota MEDICAID 808328200 BLUECROSS/BLUE SHIELD

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