Brunt, Jason E.
Brunt, Jason E. is an individual health care provider with primary practice located at 13087 E 11 Mile Rd , Warren MI 48088-4795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brunt, Jason E. can be contacted via phone (586) 393-5041.Contact Information
Primary practice address
13087 E 11 Mile Rd
Warren MI 48088-4795
Phone: (586) 393-5041
Fax: (585) 510-4105
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101013443 | Michigan |
Profile Details
NPI number | 1619979713 |
---|---|
LBN Legal business name | Brunt, Jason E. |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2005 |
Last updated | Jun 20th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619979713 | NPPES |
Michigan | Other | JB013443 | BCBSM |
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