Brucker, Kevin Allen

Brucker, Kevin Allen is an sole proprietor health care provider with primary practice located at 2 Doctors Park , Gibson City IL 60936-2000. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brucker, Kevin Allen can be contacted via phone (217) 784-4455.

Contact Information

Primary practice address
2 Doctors Park Gibson City IL 60936-2000
Phone: (217) 784-4455
Fax: (217) 784-4383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019023571 Illinois

Profile Details

NPI number 1295807154
LBN Legal business name Brucker, Kevin Allen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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