Brusca, Anthony Giacomo

Brusca, Anthony Giacomo is an individual health care provider with primary practice located at 1403 Birch St , Globe AZ 85501-1328. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Brusca, Anthony Giacomo can be contacted via phone (928) 812-6118.

Contact Information

Primary practice address
1403 Birch St Globe AZ 85501-1328
Phone: (928) 812-6118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 2901016363 Michigan

Profile Details

NPI number 1326166604
LBN Legal business name Brusca, Anthony Giacomo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 18 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 1326166604 NPPES
Alaska MEDICAID 8045

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