Brenner, Richard V.

Brenner, Richard V. is an individual health care provider with primary practice located at 13135 Lee Jackson Memorial Hwy Ste 305 , Fairfax VA 22033-1907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brenner, Richard V. can be contacted via phone (703) 359-8640.

Contact Information

Primary practice address
13135 Lee Jackson Memorial Hwy Ste 305 Fairfax VA 22033-1907
Phone: (703) 359-8640
Fax: (703) 591-6105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101049354 Virginia

Profile Details

NPI number 1508852583
LBN Legal business name Brenner, Richard V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Oct 31st, 2021 - 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 1508852583 NPPES
District of Columbia MEDICAID 058273300
District of Columbia MEDICAID 7300026
District of Columbia MEDICAID 613002000

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