Bruckner, Tiffany Ann
Bruckner, Tiffany Ann is an sole proprietor health care provider with primary practice located at 25319 Little Mack Ave , Saint Clair Shores MI 48081-3370. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bruckner, Tiffany Ann can be contacted via phone (586) 443-4950.Contact Information
Primary practice address
25319 Little Mack Ave
Saint Clair Shores MI 48081-3370
Phone: (586) 443-4950
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5101021660 | Michigan |
Profile Details
| NPI number | 1750760070 |
|---|---|
| LBN Legal business name | Bruckner, Tiffany Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2015 |
| Last updated | May 1st, 2023 - about last year |
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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