Bruin, Michael L

Bruin, Michael L is an individual health care provider with primary practice located at 516 S Van Buren Rd , Eden NC 27288-5019. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Bruin, Michael L can be contacted via phone (336) 623-6862.

Contact Information

Primary practice address
516 S Van Buren Rd Eden NC 27288-5019
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 036102870 Illinois
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2081H0002X 2020024355 Missouri
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036102870 Illinois
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 90760 South Carolina
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 2021-02075 North Carolina

Profile Details

NPI number 1437119997
LBN Legal business name Bruin, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Mar 12th, 2024 - about 8 months 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 1437119997 NPPES
Illinois MEDICAID 036102870

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