Bruning, Walter O
Bruning, Walter O is an individual health care provider with primary practice located at 11600 Main St , Louisville KY 40243-1318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bruning, Walter O can be contacted via phone (502) 245-4168.Contact Information
Primary practice address
11600 Main St
Louisville KY 40243-1318
Phone: (502) 245-4168
Fax: (502) 244-4054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 19421 | Kentucky |
Profile Details
| NPI number | 1063419901 |
|---|---|
| LBN Legal business name | Bruning, Walter O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Dec 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063419901 | NPPES |
| Kentucky | MEDICAID | 64194210 |
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