Golden-Brenner, Carrie E

Golden-Brenner, Carrie E is an individual health care provider with primary practice located at 800 Austin Suite 151, Evanston IL 60202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Golden-Brenner, Carrie E can be contacted via phone (847) 328-2300.

Contact Information

Primary practice address
800 Austin Suite 151 Evanston IL 60202
Fax: (847) 492-1988
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 36-69488 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036.069488 Illinois

Profile Details

NPI number 1750375572
LBN Legal business name Golden-Brenner, Carrie E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Aug 30th, 2012 - about 13 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 1750375572 NPPES
Illinois MEDICAID 036069488
Illinois Other 01623637
Illinois Other 01623637

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