Bruner, Jeremy Alan

Bruner, Jeremy Alan is an sole proprietor health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bruner, Jeremy Alan can be contacted via phone (707) 423-7001.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 23591 Texas

Profile Details

NPI number 1770772758
LBN Legal business name Bruner, Jeremy Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2007
Last updated Oct 16th, 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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