Bruckner, Anna L
Bruckner, Anna L is an individual health care provider with primary practice located at 13123 E 16Th Ave Children'S Hospital Colorado, Aurora CO 80045-7106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Pediatric Dermatology is her primary health care specialty. Bruckner, Anna L can be contacted via phone (720) 777-1234.Contact Information
Primary practice address
13123 E 16Th Ave Children'S Hospital Colorado
Aurora CO 80045-7106
Phone: (720) 777-1234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 37780 | Colorado |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 37780 | Colorado |
Profile Details
| NPI number | 1649354150 |
|---|---|
| LBN Legal business name | Bruckner, Anna L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Oct 4th, 2012 - about 14 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 | 1649354150 | NPPES |
| Colorado | MEDICAID | 14651084 |
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