Bruggeman, Paul A
Bruggeman, Paul A is an individual health care provider with primary practice located at 17 S Virginia Road , Crystal Lake IL 60014. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bruggeman, Paul A can be contacted via phone (815) 455-3123.Contact Information
Primary practice address
17 S Virginia Road
Crystal Lake IL 60014
Phone: (815) 455-3123
Fax: (815) 455-3139
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 19A14532 | Illinois |
Profile Details
NPI number | 1447323456 |
---|---|
LBN Legal business name | Bruggeman, Paul A |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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