Brundage, Scott R
Brundage, Scott R is an individual health care provider with primary practice located at 2060 East Paris Avenue Se Suite 150, Grand Rapids MI 49546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Brundage, Scott R can be contacted via phone (616) 454-1256.Contact Information
Primary practice address
2060 East Paris Avenue Se Suite 150
Grand Rapids MI 49546
Phone: (616) 454-1256
Fax: (616) 454-0308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 045016 | Michigan |
Profile Details
| NPI number | 1265597223 |
|---|---|
| LBN Legal business name | Brundage, Scott R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Feb 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.
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