Bruhn, Mark Allen
Bruhn, Mark Allen is an individual health care provider with primary practice located at 200 S Marr St , Fond Du Lac WI 54935-4411. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bruhn, Mark Allen can be contacted via phone (920) 922-9220.Contact Information
Primary practice address
200 S Marr St
Fond Du Lac WI 54935-4411
Phone: (920) 922-9220
Fax: (920) 922-9326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5002091015 | Wisconsin |
Profile Details
| NPI number | 1790843845 |
|---|---|
| LBN Legal business name | Bruhn, Mark Allen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 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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