Bruns, James Edward
Bruns, James Edward is an sole proprietor health care provider with primary practice located at 6180 State Farm Dr , Rohnert Park CA 94928-2135. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bruns, James Edward can be contacted via phone (707) 584-7294.Contact Information
Primary practice address
6180 State Farm Dr
Rohnert Park CA 94928-2135
Phone: (707) 584-7294
Fax: (707) 584-4728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5247T | California |
Profile Details
| NPI number | 1306926787 |
|---|---|
| LBN Legal business name | Bruns, James Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 2nd, 2012 - about 14 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 | 1306926787 | NPPES |
| California | MEDICAID | SD0052470 |
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