Bruner, John Michael

Bruner, John Michael is an individual health care provider with primary practice located at 321 E Broadway St , Monett MO 65708-2329. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bruner, John Michael can be contacted via phone (417) 235-3139.

Contact Information

Primary practice address
321 E Broadway St Monett MO 65708-2329
Phone: (417) 235-3139
Fax: (417) 235-8058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 042153 Missouri

Profile Details

NPI number 1588641161
LBN Legal business name Bruner, John Michael
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588641161 NPPES
Missouri Other 2602236 PROVIDER NUMBER NABP #
Missouri MEDICAID 600093801 PROVIDER NUMBER NABP #

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