Brunson, Michael Douglas
Brunson, Michael Douglas is an sole proprietor health care provider with primary practice located at 5691 S Redwood Rd Unit 15 , Taylorsville UT 84123-5485. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brunson, Michael Douglas can be contacted via phone (801) 971-0565.Contact Information
Primary practice address
5691 S Redwood Rd Unit 15
Taylorsville UT 84123-5485
Phone: (801) 971-0565
Fax: (801) 281-4083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 326545-2501 | Utah |
Profile Details
| NPI number | 1750520136 |
|---|---|
| LBN Legal business name | Brunson, Michael Douglas |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2009 |
| Last updated | Feb 9th, 2009 - about 16 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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