Bruning, Clinton
Bruning, Clinton is an individual health care provider with primary practice located at 2535 Ira E Woods Ave , Grapevine TX 76051. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bruning, Clinton can be contacted via phone (817) 481-2121.Contact Information
Primary practice address
2535 Ira E Woods Ave
Grapevine TX 76051
Phone: (817) 481-2121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1292490 | Texas |
Profile Details
| NPI number | 1669996252 |
|---|---|
| LBN Legal business name | Bruning, Clinton |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2017 |
| Last updated | Oct 1st, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669996252 | NPPES |
| Texas | MEDICAID | 192079501 |
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