Bruning, Johanna Shalom
Bruning, Johanna Shalom is an individual health care provider with primary practice located at 12410 E Sinto Ave Suite 101, Spokane Valley WA 99216-2199. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bruning, Johanna Shalom can be contacted via phone (509) 838-2531.Contact Information
Primary practice address
12410 E Sinto Ave Suite 101
Spokane Valley WA 99216-2199
Phone: (509) 838-2531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30007072 | Washington |
Profile Details
| NPI number | 1407820632 |
|---|---|
| LBN Legal business name | Bruning, Johanna Shalom |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Dec 12th, 2008 - about 18 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 | 1407820632 | NPPES |
| Washington | MEDICAID | 9646514 | |
| Washington | Other | 0221856 |
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