Brunstrom-Hernandez, Janice Elaine
Brunstrom-Hernandez, Janice Elaine is an sole proprietor health care provider with primary practice located at 7709 San Jacinto Pl Ste 203 , Plano TX 75024-3368. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Brunstrom-Hernandez, Janice Elaine can be contacted via phone (469) 331-0030.Contact Information
Primary practice address
7709 San Jacinto Pl Ste 203
Plano TX 75024-3368
Phone: (469) 331-0030
Fax: (469) 331-0031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 101182 | Missouri |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | M5074 | Texas |
Profile Details
| NPI number | 1821014051 |
|---|---|
| LBN Legal business name | Brunstrom-Hernandez, Janice Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jan 16th, 2024 - 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 | 1821014051 | NPPES |
| Missouri | MEDICAID | 069010101 | |
| Missouri | MEDICAID | 339120301 | |
| Missouri | MEDICAID | 339120303 | |
| Missouri | MEDICAID | 339120302 |
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