Brenner, Thomas

Brenner, Thomas is an individual health care provider with primary practice located at 1904 E Chicago Rd , Sturgis MI 49091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brenner, Thomas can be contacted via phone (269) 651-4744.

Contact Information

Primary practice address
1904 E Chicago Rd Sturgis MI 49091
Phone: (269) 651-4744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301036647 Michigan

Profile Details

NPI number 1518927888
LBN Legal business name Brenner, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 19th, 2007 - about 17 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 1518927888 NPPES
Michigan MEDICAID 104092762

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