Bruksch, Matthew James

Bruksch, Matthew James is an individual health care provider with primary practice located at 449 Roxbury Road , Rockford IL 61107. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bruksch, Matthew James can be contacted via phone (815) 226-4700.

Contact Information

Primary practice address
449 Roxbury Road Rockford IL 61107
Phone: (815) 226-4700
Fax: (815) 391-5188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 019.027906 Illinois

Profile Details

NPI number 1538394580
LBN Legal business name Bruksch, Matthew James
Credentials DDS FACS
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2009
Last updated Jan 8th, 2019 - about 7 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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