Bruner, Matthew Justin

Bruner, Matthew Justin is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bruner, Matthew Justin can be contacted via phone (417) 982-0168.

Contact Information

Primary practice address
1235 E Cherokee St Springfield MO 65804-2203
Phone: (417) 982-0168
Fax: (417) 820-8852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 05-34533 Kansas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2005025705 Missouri

Profile Details

NPI number 1386798189
LBN Legal business name Bruner, Matthew Justin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jun 11th, 2019 - about 6 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 1386798189 NPPES
Oklahoma MEDICAID 200662760A
Oklahoma Other P01787086
Oklahoma MEDICAID 216316003
Oklahoma MEDICAID 1386798189

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