Brundage, Luanne Marie
Brundage, Luanne Marie is an sole proprietor health care provider with primary practice located at 6100 Shingle Creek Pkwy T-0240, Brooklyn Center MN 55430-2110. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Brundage, Luanne Marie can be contacted via phone (763) 566-0143.Contact Information
Primary practice address
6100 Shingle Creek Pkwy T-0240
Brooklyn Center MN 55430-2110
Phone: (763) 566-0143
Fax: (763) 566-0143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 112821 | Minnesota |
Profile Details
| NPI number | 1013201383 |
|---|---|
| LBN Legal business name | Brundage, Luanne Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2011 |
| Last updated | Jun 4th, 2011 - about 15 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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