Brucker, Noel
Brucker, Noel is an individual health care provider with primary practice located at 3830 W 121St Pl , Broomfield CO 80020-7921. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brucker, Noel can be contacted via phone (303) 410-8041.Contact Information
Primary practice address
3830 W 121St Pl
Broomfield CO 80020-7921
Phone: (303) 410-8041
Fax: (303) 410-8044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 38800 | Colorado |
Profile Details
| NPI number | 1093864928 |
|---|---|
| LBN Legal business name | Brucker, Noel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093864928 | NPPES |
| Colorado | MEDICAID | 90637038 |
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