Brunner, Charles

Brunner, Charles is an individual health care provider with primary practice located at 506 Gale St , Laredo TX 78041-6003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Brunner, Charles can be contacted via phone (956) 724-9091.

Contact Information

Primary practice address
506 Gale St Laredo TX 78041-6003
Phone: (956) 724-9091
Fax: (956) 724-8213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00370 Texas

Profile Details

NPI number 1427439033
LBN Legal business name Brunner, Charles
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2015
Last updated Jan 11th, 2016 - about 9 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 1427439033 NPPES
Texas MEDICAID PENDING

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