Bullerman, Brenda R

Bullerman, Brenda R is an individual health care provider with primary practice located at 201 Maine Ave , Adrian MN 56110-1214. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bullerman, Brenda R can be contacted via phone (507) 483-2668.

Contact Information

Primary practice address
201 Maine Ave Adrian MN 56110-1214
Phone: (507) 483-2668
Fax: (507) 483-2925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0590 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9095 Minnesota

Profile Details

NPI number 1225032717
LBN Legal business name Bullerman, Brenda R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated May 22nd, 2020 - about 5 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 1225032717 NPPES
South Dakota MEDICAID 6823472

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