Brunker, Nickolaus
Brunker, Nickolaus is an individual health care provider with primary practice located at 2021 Mather Way Apt B , Elkins Park PA 19027-1032. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Brunker, Nickolaus can be contacted via phone (208) 720-6809.Contact Information
Primary practice address
2021 Mather Way Apt B
Elkins Park PA 19027-1032
Phone: (208) 720-6809
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT-759 | Idaho |
Profile Details
| NPI number | 1912473109 |
|---|---|
| LBN Legal business name | Brunker, Nickolaus |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2018 |
| Last updated | Oct 21st, 2020 - about 6 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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