Bruns, Matthew W.

Bruns, Matthew W. is an individual health care provider with primary practice located at 12349 De Paul Dr Ste 100 , Bridgeton MO 63044-2512. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Bruns, Matthew W. can be contacted via phone (314) 291-7900.

Contact Information

Primary practice address
12349 De Paul Dr Ste 100 Bridgeton MO 63044-2512
Phone: (314) 291-7900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209006084 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2018022966 Missouri

Profile Details

NPI number 1447266333
LBN Legal business name Bruns, Matthew W.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447266333 NPPES
Illinois Other 209006084 ILLINOIS LICENSE NUMBER

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