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
Fax: (309) 454-9257
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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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