Bruining, Kersti

Bruining, Kersti is an sole proprietor health care provider with primary practice located at 1105 Sixth St , Traverse City MI 49684-2345. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Bruining, Kersti can be contacted via phone (231) 935-7514.

Contact Information

Primary practice address
1105 Sixth St Traverse City MI 49684-2345
Phone: (231) 935-7514
Fax: (231) 392-0039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301062455 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301062455 Michigan

Profile Details

NPI number 1558364315
LBN Legal business name Bruining, Kersti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Oct 5th, 2023 - about 3 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 1558364315 NPPES
Michigan Other 4301062455 STATE LICENSE NUMBER
Michigan MEDICAID 4618392 STATE LICENSE NUMBER
Michigan Other 0281047 STATE LICENSE NUMBER

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