Brull, Robert
Brull, Robert is an sole proprietor health care provider with primary practice located at 1459 Potomac Ave , Hagerstown MD 21742-3315. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brull, Robert can be contacted via phone (301) 791-5882.Contact Information
Primary practice address
1459 Potomac Ave
Hagerstown MD 21742-3315
Phone: (301) 791-5882
Fax: (301) 714-0632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D 0004359 | Maryland |
Profile Details
| NPI number | 1639180169 |
|---|---|
| LBN Legal business name | Brull, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jan 3rd, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639180169 | NPPES |
| Maryland | MEDICAID | 44775-1100 |
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