Brune, William G

Brune, William G is an individual health care provider with primary practice located at 2410 N Glendale Dr Ste A , Fort Wayne IN 46804-8909. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brune, William G can be contacted via phone (260) 432-5181.

Contact Information

Primary practice address
2410 N Glendale Dr Ste A Fort Wayne IN 46804-8909
Phone: (260) 432-5181
Fax: (260) 432-5692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34004553A Indiana

Profile Details

NPI number 1124021662
LBN Legal business name Brune, William G
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2005
Last updated Jul 8th, 2007 - about 17 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 1124021662 NPPES
Indiana Other 000000175090 ANTHEM BCBS
Indiana Other 049915P ANTHEM BCBS
Indiana Other 15126 ANTHEM BCBS

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