Brunk, Robert L
Brunk, Robert L is an sole proprietor health care provider with primary practice located at 802 Laporte Ave Suite 102, Valparaiso IN 46383-5860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brunk, Robert L can be contacted via phone (219) 477-5242.Contact Information
Primary practice address
802 Laporte Ave Suite 102
Valparaiso IN 46383-5860
Phone: (219) 477-5242
Fax: (219) 477-4859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 02001839A | Indiana |
Profile Details
| NPI number | 1184678765 |
|---|---|
| LBN Legal business name | Brunk, Robert L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1184678765 | NPPES |
| Indiana | Other | 02001839A | INDIANA LICENSE |
| Indiana | Other | 02001839B | INDIANA LICENSE |
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