Brunner, Mark I.
Brunner, Mark I. is an sole proprietor health care provider with primary practice located at 212 S 2Nd St , Danville KY 40422-1804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Brunner, Mark I. can be contacted via phone (859) 236-5302.Contact Information
Primary practice address
212 S 2Nd St
Danville KY 40422-1804
Phone: (859) 236-5302
Fax: (859) 236-5025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 40350 | Kentucky |
Profile Details
| NPI number | 1053386060 |
|---|---|
| LBN Legal business name | Brunner, Mark I. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| 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 | 1053386060 | NPPES |
| Kentucky | MEDICAID | 7100006290 |
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