Brunner, Michael Matthew

Brunner, Michael Matthew is an individual health care provider with primary practice located at 120 Plaza Dr Suite E, Vestal NY 13850-3640. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Brunner, Michael Matthew can be contacted via phone (607) 797-5414.

Contact Information

Primary practice address
120 Plaza Dr Suite E Vestal NY 13850-3640
Phone: (607) 797-5414
Fax: (607) 797-6537
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 011764-1 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 011764-1 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 011764-1 New York

Profile Details

NPI number 1144391202
LBN Legal business name Brunner, Michael Matthew
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1144391202 NPPES
New York Other 000000089686 GHI-HMO
New York MEDICAID 02252115 GHI-HMO
New York Other 4552539 GHI-HMO
New York Other 438126 GHI-HMO
New York Other 4552539 GHI-HMO
New York Other 10055823 GHI-HMO
New York Other 64-01196 GHI-HMO
New York Other 9976077625901 GHI-HMO
New York Other G0186259040 GHI-HMO
New York Other 3962334 GHI-HMO
New York Other 6697062 GHI-HMO

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