Brunner, Kirstin Ellen

Brunner, Kirstin Ellen is an sole proprietor health care provider with primary practice located at 1020 East 1Oth Street , Erie PA 16503-0002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Brunner, Kirstin Ellen can be contacted via phone (814) 453-4309.

Contact Information

Primary practice address
1020 East 1Oth Street Erie PA 16503-0002
Phone: (814) 453-4309
Fax: (814) 459-1191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X OS006234L Pennsylvania

Profile Details

NPI number 1891776993
LBN Legal business name Brunner, Kirstin Ellen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated Jul 8th, 2007 - about 17 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 1891776993 NPPES
Pennsylvania MEDICAID 1696143

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