Vanbruggen, Michael Todd

Vanbruggen, Michael Todd is an individual health care provider with primary practice located at 2130 S Branner Ave Cn Box 72030, Jefferson City TN 37760-2224. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Vanbruggen, Michael Todd can be contacted via phone (865) 471-3368.

Contact Information

Primary practice address
2130 S Branner Ave Cn Box 72030 Jefferson City TN 37760-2224
Phone: (865) 471-3368
Fax: (865) 471-3514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 561 Tennessee
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT1345 Texas

Profile Details

NPI number 1063485852
LBN Legal business name Vanbruggen, Michael Todd
Credentials Athletic Trainer, Certified (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.

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