Brueckner, Travis James

Brueckner, Travis James is an sole proprietor health care provider with primary practice located at 921 Lawless St Ne , Keizer OR 97303-4667. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Brueckner, Travis James can be contacted via phone (503) 507-7274.

Contact Information

Primary practice address
921 Lawless St Ne Keizer OR 97303-4667
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC186260 Oregon

Profile Details

NPI number 1518467828
LBN Legal business name Brueckner, Travis James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2018
Last updated Feb 14th, 2018 - about 7 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.

Request for update

Popular Providers