Brueckl, Mark Nelson

Brueckl, Mark Nelson is an individual health care provider with primary practice located at 100 N Pitt St Suite 400, Alexandria VA 22314-3134. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Brueckl, Mark Nelson can be contacted via phone (703) 683-8416.

Contact Information

Primary practice address
100 N Pitt St Suite 400 Alexandria VA 22314-3134
Phone: (703) 683-8416
Fax: (703) 683-8417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 030718 New York
Pharmacy Service Providers / Pharmacist 183500000X 0202207378 Virginia

Profile Details

NPI number 1316997935
LBN Legal business name Brueckl, Mark Nelson
Credentials R.PH., MBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
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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