Brungardt, Peter F

Brungardt, Peter F is an individual health care provider with primary practice located at 436 S Ohio St , Salina KS 67401-3177. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brungardt, Peter F can be contacted via phone (785) 825-0271.

Contact Information

Primary practice address
436 S Ohio St Salina KS 67401-3177
Phone: (785) 825-0271
Fax: (785) 825-0273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1025-3 Kansas

Profile Details

NPI number 1437152790
LBN Legal business name Brungardt, Peter F
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1437152790 NPPES
Kansas Other 650836 BLUE CROSS BLUE SHIELD
Kansas Other 1025-3 BLUE CROSS BLUE SHIELD
Kansas Other 0185700001 BLUE CROSS BLUE SHIELD

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