Brenner, Michelle G.
Brenner, Michelle G. is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brenner, Michelle G. can be contacted via phone (757) 668-7179.Contact Information
Primary practice address
601 Childrens Ln
Norfolk VA 23507-1910
Phone: (757) 668-7179
Fax: (757) 668-7835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101054465 | Virginia |
Profile Details
| NPI number | 1184659898 |
|---|---|
| LBN Legal business name | Brenner, Michelle G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Feb 14th, 2013 - 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 | 1184659898 | NPPES |
| Virginia | MEDICAID | 010268141 |
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