Bruno, Kristen Ingrid
Bruno, Kristen Ingrid is an individual health care provider with primary practice located at 706 N Main St , O Fallon MO 63366-1743. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bruno, Kristen Ingrid can be contacted via phone (314) 258-5941.Contact Information
Primary practice address
706 N Main St
O Fallon MO 63366-1743
Phone: (314) 258-5941
Fax: (314) 279-0255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2007007759 | Missouri |
Profile Details
| NPI number | 1871795955 |
|---|---|
| LBN Legal business name | Bruno, Kristen Ingrid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Mar 19th, 2023 - about last year |
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 | 1871795955 | NPPES |
| Missouri | MEDICAID | 205547201 |
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