Bruckner, Anna L

Bruckner, Anna L is an individual health care provider with primary practice located at 13123 E 16Th Ave Children'S Hospital Colorado, Aurora CO 80045-7106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Pediatric Dermatology is her primary health care specialty. Bruckner, Anna L can be contacted via phone (720) 777-1234.

Contact Information

Primary practice address
13123 E 16Th Ave Children'S Hospital Colorado Aurora CO 80045-7106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 37780 Colorado
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 37780 Colorado

Profile Details

NPI number 1649354150
LBN Legal business name Bruckner, Anna L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Oct 4th, 2012 - about 12 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 1649354150 NPPES
Colorado MEDICAID 14651084

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