Gruszka, Bernie
Gruszka, Bernie is an individual health care provider with primary practice located at 12382 Olive Blvd , Creve Coeur MO 63141-6443. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gruszka, Bernie can be contacted via phone (314) 453-9675.Contact Information
Primary practice address
12382 Olive Blvd
Creve Coeur MO 63141-6443
Phone: (314) 453-9675
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1487761367 |
|---|---|
| LBN Legal business name | Gruszka, Bernie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487761367 | NPPES |
| Missouri | Other | R0074 | LICENSE # |
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