Bruner, Harlan Jason
Bruner, Harlan Jason is an individual health care provider with primary practice located at 2142 W Broad St Building 100, Ste 200, Athens GA 30606-3506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Bruner, Harlan Jason can be contacted via phone (706) 548-6881.Contact Information
Primary practice address
2142 W Broad St Building 100, Ste 200
Athens GA 30606-3506
Phone: (706) 548-6881
Fax: (706) 546-0821
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 234690 | New York |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 64902 | Georgia |
Profile Details
NPI number | 1487826079 |
---|---|
LBN Legal business name | Bruner, Harlan Jason |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2008 |
Last updated | Jun 20th, 2019 - about 5 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 | 1487826079 | NPPES |
Georgia | MEDICAID | 003106211A |
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