Bruyn, James Mark

Bruyn, James Mark is an individual health care provider with primary practice located at 450 North 11Th St , Beaumont TX 77702. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bruyn, James Mark can be contacted via phone (409) 833-7465.

Contact Information

Primary practice address
450 North 11Th St Beaumont TX 77702
Phone: (409) 833-7465
Fax: (409) 833-7719
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0798 Texas

Profile Details

NPI number 1356447809
LBN Legal business name Bruyn, James Mark
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 3rd, 2013 - about 11 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 1356447809 NPPES
Texas MEDICAID 120214506

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