Brueckmann, Michael Phillip
Brueckmann, Michael Phillip is an sole proprietor health care provider with primary practice located at 1344 Stone Creek Valley Cir , O Fallon MO 63366-3391. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brueckmann, Michael Phillip can be contacted via phone (636) 795-1758.Contact Information
Primary practice address
1344 Stone Creek Valley Cir
O Fallon MO 63366-3391
Phone: (636) 795-1758
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2001025527 | Missouri |
Profile Details
| NPI number | 1104939552 |
|---|---|
| LBN Legal business name | Brueckmann, Michael Phillip |
| Credentials | LMT, NCTMB |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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