Bruderly, Michael P

Bruderly, Michael P is an individual health care provider with primary practice located at 1000 Dutch Ridge Rd , Beaver PA 15009-9727. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bruderly, Michael P can be contacted via phone (724) 773-4621.

Contact Information

Primary practice address
1000 Dutch Ridge Rd Beaver PA 15009-9727
Phone: (724) 773-4621
Fax: (724) 773-4696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN273624 Ohio

Profile Details

NPI number 1588844179
LBN Legal business name Bruderly, Michael P
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2007
Last updated Nov 12th, 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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