Bruckner, Carl

Bruckner, Carl is an sole proprietor health care provider with primary practice located at 109 Thrush Dr , Roswell GA 30075-1141. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Bruckner, Carl can be contacted via phone (408) 731-0592.

Contact Information

Primary practice address
109 Thrush Dr Roswell GA 30075-1141
Phone: (408) 731-0592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT 010291 Georgia

Profile Details

NPI number 1144617036
LBN Legal business name Bruckner, Carl
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2015
Last updated Apr 19th, 2015 - about 10 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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