Brunelle, Donald Christopher
Brunelle, Donald Christopher is an individual health care provider with primary practice located at 130 E Broad St , Camilla GA 31730-1809. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Brunelle, Donald Christopher can be contacted via phone (229) 336-1115.Contact Information
Primary practice address
130 E Broad St
Camilla GA 31730-1809
Phone: (229) 336-1115
Fax: (229) 336-1151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT005178 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT005178 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT005178 | Georgia |
Profile Details
| NPI number | 1962471953 |
|---|---|
| LBN Legal business name | Brunelle, Donald Christopher |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1962471953 | NPPES |
| Other | P00107967 | PALMETTO GBA - RR MEDICAR | |
| MEDICAID | 00893846A | PALMETTO GBA - RR MEDICAR |
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