Brenner, Pryor

Brenner, Pryor is an individual health care provider with primary practice located at 1060 W Perimeter Rd , Jb Andrews MD 20762-6602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Brenner, Pryor can be contacted via phone (240) 612-1660.

Contact Information

Primary practice address
1060 W Perimeter Rd Jb Andrews MD 20762-6602
Phone: (240) 612-1660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01059894A Indiana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2022006412 Missouri

Profile Details

NPI number 1134242142
LBN Legal business name Brenner, Pryor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Apr 15th, 2022 - about 3 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 1134242142 NPPES
Missouri MEDICAID 200108044

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