Bruny, Jennifer

Bruny, Jennifer is an individual health care provider with primary practice located at 4100 Lake Otis Pkwy Ste 312 , Anchorage AK 99508-5231. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Bruny, Jennifer can be contacted via phone (907) 929-7337.

Contact Information

Primary practice address
4100 Lake Otis Pkwy Ste 312 Anchorage AK 99508-5231
Fax: (907) 929-7330
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 166507 Alaska
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 43866 Colorado

Profile Details

NPI number 1801942495
LBN Legal business name Bruny, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Apr 13th, 2021 - about 4 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 1801942495 NPPES
Alaska MEDICAID 1007956

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