Brunck, Brian Wade

Brunck, Brian Wade is an individual health care provider with primary practice located at 820 S Mcclellan St Suite 300, Spokane WA 99204-2457. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Brunck, Brian Wade can be contacted via phone (509) 838-7100.

Contact Information

Primary practice address
820 S Mcclellan St Suite 300 Spokane WA 99204-2457
Phone: (509) 838-7100
Fax: (509) 838-0721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10005071 Washington

Profile Details

NPI number 1184723082
LBN Legal business name Brunck, Brian Wade
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Apr 27th, 2021 - about 4 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 1184723082 NPPES
Washington MEDICAID 8466344

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