Bronk, James B

Bronk, James B is an individual health care provider with primary practice located at 1200 B Gale Wilson Blvd , Fairfield CA 94533-3552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bronk, James B can be contacted via phone (707) 429-3600.

Contact Information

Primary practice address
1200 B Gale Wilson Blvd Fairfield CA 94533-3552
Fax: (707) 429-7997
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G50612 California

Profile Details

NPI number 1609824556
LBN Legal business name Bronk, James B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Apr 29th, 2008 - about 17 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 1609824556 NPPES
Other 360003125 RAILROAD MEDICARE PIN
MEDICAID 00G506120 RAILROAD MEDICARE PIN

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