Brenner, Robert A

Brenner, Robert A is an individual health care provider with primary practice located at 3927 Rucker Ave , Everett WA 98201-4833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Brenner, Robert A can be contacted via phone (425) 339-5421.

Contact Information

Primary practice address
3927 Rucker Ave Everett WA 98201-4833
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD60625350 Washington
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Q3152 Texas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G51139 California

Profile Details

NPI number 1437254075
LBN Legal business name Brenner, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Dec 8th, 2020 - about 5 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 1437254075 NPPES
California MEDICAID 00G511390

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