Brenner, Nitya L

Brenner, Nitya L is an individual health care provider with primary practice located at 1125 Pierce St , Sioux City IA 51105-1485. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Brenner, Nitya L can be contacted via phone (712) 255-8901.

Contact Information

Primary practice address
1125 Pierce St Sioux City IA 51105-1485
Phone: (712) 255-8901
Fax: (712) 255-9161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35692 Iowa
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35692 Iowa

Profile Details

NPI number 1881691293
LBN Legal business name Brenner, Nitya L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 3rd, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881691293 NPPES
Iowa MEDICAID 0442483

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