Brungart, Michelle Marie

Brungart, Michelle Marie is an individual health care provider with primary practice located at 12201 Big Bend Rd Ste 200 , Kirkwood MO 63122-6831. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Brungart, Michelle Marie can be contacted via phone (314) 805-7837.

Contact Information

Primary practice address
12201 Big Bend Rd Ste 200 Kirkwood MO 63122-6831
Phone: (314) 805-7837
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2020013194 Missouri

Profile Details

NPI number 1780299164
LBN Legal business name Brungart, Michelle Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2020
Last updated Sep 11th, 2020 - about 4 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 1780299164 NPPES
Missouri Other 2020013194 CHIROPRACTIC LICENSE

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