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
Phone: (419) 227-5544
Fax: (419) 227-1520
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659468247 | NPPES |
Ohio | MEDICAID | 2914270 |
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