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
Phone: (847) 328-2300
Fax: (847) 492-1988
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750375572 | NPPES |
| Illinois | MEDICAID | 036069488 | |
| Illinois | Other | 01623637 | |
| Illinois | Other | 01623637 |
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