Schuckman, Brynn Elissa
Schuckman, Brynn Elissa is an individual health care provider with primary practice located at 107 S Indiana Ave , Bloomington IN 47405-7000. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Schuckman, Brynn Elissa can be contacted via phone (812) 855-4509.Contact Information
Primary practice address
107 S Indiana Ave
Bloomington IN 47405-7000
Phone: (812) 855-4509
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 36001216A | Indiana |
Profile Details
NPI number | 1053384735 |
---|---|
LBN Legal business name | Schuckman, Brynn Elissa |
Credentials | LAT, ATC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 10th, 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 | 1053384735 | NPPES |
Indiana | Other | 36001216A | LICENSED ATHLETIC TRAINER |
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