Brun, Gina Marie

Brun, Gina Marie is an individual health care provider with primary practice located at 720 Mercer Pl , Huntersville NC 28078-2643. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brun, Gina Marie can be contacted via phone (704) 948-5681.

Contact Information

Primary practice address
720 Mercer Pl Huntersville NC 28078-2643
Phone: (704) 948-5681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5500 North Carolina

Profile Details

NPI number 1013911825
LBN Legal business name Brun, Gina Marie
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Dec 9th, 2009 - 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 1013911825 NPPES
North Carolina Other 1290E BCBS-NC
North Carolina MEDICAID 7411762 BCBS-NC

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