Brucker-Busso, Anne W

Brucker-Busso, Anne W is an individual health care provider with primary practice located at 1425 Malabar Rd Ne , Palm Bay FL 32907-2506. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Brucker-Busso, Anne W can be contacted via phone (321) 434-8078.

Contact Information

Primary practice address
1425 Malabar Rd Ne Palm Bay FL 32907-2506
Phone: (321) 434-8078
Fax: (321) 434-8075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10155 Montana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME124930 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43191 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 60074658 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME124930 Florida

Profile Details

NPI number 1780608794
LBN Legal business name Brucker-Busso, Anne W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Dec 18th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780608794 NPPES
Florida Other IL931Z MEDICARE
Florida MEDICAID 016887700 MEDICARE

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