Brunt, L Michael

Brunt, L Michael is an individual health care provider with primary practice located at 4921 Parkview Pl Div Surg Mis, Ste 12B, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brunt, L Michael can be contacted via phone (314) 454-8877.

Contact Information

Primary practice address
4921 Parkview Pl Div Surg Mis, Ste 12B Saint Louis MO 63110-1032
Phone: (314) 454-8877
Fax: (877) 991-4780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R3C02 Missouri

Profile Details

NPI number 1992723621
LBN Legal business name Brunt, L Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated May 9th, 2024 - about 2 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 1992723621 NPPES
Missouri MEDICAID 202375010

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