Brus, Mario
Brus, Mario is an individual health care provider with primary practice located at 1150 N Sister Catherine Way , Nampa ID 83687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brus, Mario can be contacted via phone (208) 302-7000.Contact Information
Primary practice address
1150 N Sister Catherine Way
Nampa ID 83687
Phone: (208) 302-7000
Fax: (208) 302-7055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 200901147 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M-13125 | Idaho |
Profile Details
| NPI number | 1790786515 |
|---|---|
| LBN Legal business name | Brus, Mario |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790786515 | NPPES |
| Idaho | MEDICAID | 003607400 |
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