Brunk, Gary P

Brunk, Gary P is an sole proprietor health care provider with primary practice located at 2345 W Elm St , Lima OH 45805. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Brunk, Gary P can be contacted via phone (419) 227-5544.

Contact Information

Primary practice address
2345 W Elm St Lima OH 45805
Fax: (419) 227-1520
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 14923 Ohio

Profile Details

NPI number 1659468247
LBN Legal business name Brunk, Gary P
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jun 21st, 2011 - about 14 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 1659468247 NPPES
Ohio MEDICAID 2914270

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