Brucker, Alexander D
Brucker, Alexander D is an individual health care provider with primary practice located at 1100 Beech St Ste 7 , Normal IL 61761-1456. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Brucker, Alexander D can be contacted via phone (309) 454-1770.Contact Information
Primary practice address
1100 Beech St Ste 7
Normal IL 61761-1456
Phone: (309) 454-1770
Fax: (309) 454-9257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180.007128 | Illinois |
Profile Details
| NPI number | 1548409329 |
|---|---|
| LBN Legal business name | Brucker, Alexander D |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2009 |
| Last updated | Feb 18th, 2009 - about 16 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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