Elizabeth G Bruning Phd Pllc

LBN: Elizabeth G Bruning Phd Pllc
Elizabeth G Bruning Phd Pllc is an health care organization with primary practice located at 818 Red Dr Suite 260, Traverse City MI 49684-4720. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Elizabeth G Bruning Phd Pllc can be contacted via phone (231) 935-0790, or through Bruning, Elizabeth G via phone (231) 935-0790.

Contact Information

Primary practice address
818 Red Dr Suite 260 Traverse City MI 49684-4720
Phone: (231) 935-0790
Fax: (231) 935-0791
Website:
Map and Directions
Authorized official contact:
Name: Bruning, Elizabeth G PHD
Phone: (231) 935-0790

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301008608 Michigan

Profile Details

NPI number 1174809511
LBN Legal business name Elizabeth G Bruning Phd Pllc
DBA Doing business as
Authorized official Bruning, Elizabeth G PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2011
Last updated Oct 31st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174809511 NPPES
Michigan Other OM21750 MEDICARE PTAN

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