Bruns, Thomas F

Bruns, Thomas F is an individual health care provider with primary practice located at 11711 W Burleigh St , Wauwatosa WI 53222-3108. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Bruns, Thomas F can be contacted via phone (414) 771-2345.

Contact Information

Primary practice address
11711 W Burleigh St Wauwatosa WI 53222-3108
Phone: (414) 771-2345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 2608-015 Wisconsin

Profile Details

NPI number 1215957964
LBN Legal business name Bruns, Thomas F
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jun 29th, 2024 - about 6 months 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 1215957964 NPPES
Wisconsin MEDICAID 33432200

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