Bruckner, Mark Neil
Bruckner, Mark Neil is an individual health care provider with primary practice located at 2876 Sycamore Dr Suite 302, Simi Valley CA 93065-1550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bruckner, Mark Neil can be contacted via phone (805) 522-4400.Contact Information
Primary practice address
2876 Sycamore Dr Suite 302
Simi Valley CA 93065-1550
Phone: (805) 522-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G50614 | California |
Profile Details
| NPI number | 1245226232 |
|---|---|
| LBN Legal business name | Bruckner, Mark Neil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| 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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