Brucken, Randall
Brucken, Randall is an individual health care provider with primary practice located at 3711 Rome Drive Suite A, Lafayette IN 47905. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brucken, Randall can be contacted via phone (765) 742-3100.Contact Information
Primary practice address
3711 Rome Drive Suite A
Lafayette IN 47905
Phone: (765) 742-3100
Fax: (765) 742-0152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12010142 | Indiana |
Profile Details
| NPI number | 1548473416 |
|---|---|
| LBN Legal business name | Brucken, Randall |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 24th, 2007 - about 18 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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