Brungardt, Jerry Lee

Brungardt, Jerry Lee is an individual health care provider with primary practice located at 11654 Huron St , Northglenn CO 80234-2921. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brungardt, Jerry Lee can be contacted via phone (303) 255-9595.

Contact Information

Primary practice address
11654 Huron St Northglenn CO 80234-2921
Phone: (303) 255-9595
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 156 Colorado

Profile Details

NPI number 1992911648
LBN Legal business name Brungardt, Jerry Lee
Credentials BC-HIS
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - about 19 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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