Brink, Bruce Carlton
Brink, Bruce Carlton is an individual health care provider with primary practice located at 410 N Main St , Princeton IN 47670-1516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brink, Bruce Carlton can be contacted via phone (812) 386-7522.Contact Information
Primary practice address
410 N Main St
Princeton IN 47670-1516
Phone: (812) 386-7522
Fax: (812) 386-1097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02000104A | Indiana |
Profile Details
| NPI number | 1952393159 |
|---|---|
| LBN Legal business name | Brink, Bruce Carlton |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1952393159 | NPPES |
| Indiana | MEDICAID | 1004717110A |
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