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:
Health care specialties
Specialty | Code | License # | 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 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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