Brenner, Thomas M
Brenner, Thomas M is an sole proprietor health care provider with primary practice located at 52 College Way , Auburn CA 95603-5001. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brenner, Thomas M can be contacted via phone (530) 823-8353.Contact Information
Primary practice address
52 College Way
Auburn CA 95603-5001
Phone: (530) 823-8353
Fax: (530) 823-8355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5364T | California |
Profile Details
| NPI number | 1649230368 |
|---|---|
| LBN Legal business name | Brenner, Thomas M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Jan 23rd, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649230368 | NPPES |
| California | MEDICAID | SD0053640 |
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