Brueckner, Maria Ynes

Brueckner, Maria Ynes is an individual health care provider with primary practice located at 516 East Nizhoni Blvd. , Gallup NM 87301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Brueckner, Maria Ynes can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 East Nizhoni Blvd. Gallup NM 87301
Phone: (505) 722-1000
Fax: (505) 726-8557
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 32304 Arizona

Profile Details

NPI number 1629022678
LBN Legal business name Brueckner, Maria Ynes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Sep 3rd, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629022678 NPPES
Arizona MEDICAID 817710

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