Brunelli, Bianca Stephanie

Brunelli, Bianca Stephanie is an individual health care provider with primary practice located at 4611 E Shea Blvd Ste 190 , Phoenix AZ 85028. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Brunelli, Bianca Stephanie can be contacted via phone (480) 889-0180.

Contact Information

Primary practice address
4611 E Shea Blvd Ste 190 Phoenix AZ 85028
Phone: (480) 889-0180
Fax: (480) 889-0186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 006605 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101019387 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 006605 Arizona
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 207QH0002X Arizona

Profile Details

NPI number 1033404553
LBN Legal business name Brunelli, Bianca Stephanie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2011
Last updated Mar 22nd, 2024 - about 6 months 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 1033404553 NPPES
Michigan Other 5315050625 BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENSE
Michigan MEDICAID 041428 BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENSE

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