Brummer, Vaughn Elliot

Brummer, Vaughn Elliot is an sole proprietor health care provider with primary practice located at 1400 Pride Avenue , Madisonville KY 42431-9108. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Brummer, Vaughn Elliot can be contacted via phone (270) 821-7386.

Contact Information

Primary practice address
1400 Pride Avenue Madisonville KY 42431-9108
Phone: (270) 821-7386
Fax: (270) 821-7401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7957 Kentucky
Dental Providers / Pediatric Dentistry 1223P0221X 12010912A Indiana

Profile Details

NPI number 1548335433
LBN Legal business name Brummer, Vaughn Elliot
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2006
Last updated Feb 24th, 2014 - about 11 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 1548335433 NPPES
Kentucky MEDICAID 60002219
Kentucky MEDICAID 45002789

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