Brungardt, Mark John

Brungardt, Mark John is an sole proprietor health care provider with primary practice located at 1280 Centaur Village Dr Ste 8 , Lafayette CO 80026-1255. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brungardt, Mark John can be contacted via phone (303) 926-1575.

Contact Information

Primary practice address
1280 Centaur Village Dr Ste 8 Lafayette CO 80026-1255
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1427218528
LBN Legal business name Brungardt, Mark John
Credentials Nurse Massage Therapist (NMT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2008
Last updated Jun 11th, 2008 - 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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