Bruha, Robert

Bruha, Robert is an individual health care provider with primary practice located at 1404 Eastland Dr Ste 103 , Bloomington IL 61701-7904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bruha, Robert can be contacted via phone (309) 676-8123.

Contact Information

Primary practice address
1404 Eastland Dr Ste 103 Bloomington IL 61701-7904
Phone: (309) 676-8123
Fax: (309) 676-8455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036109216 Illinois

Profile Details

NPI number 1043340367
LBN Legal business name Bruha, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated May 25th, 2022 - about 3 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 1043340367 NPPES
Illinois Other P00047015 RAILROAD MEDICARE
Illinois MEDICAID 036109216 RAILROAD MEDICARE

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