Bruton, Christopher M

Bruton, Christopher M is an sole proprietor health care provider with primary practice located at 200 Leake St Ste 106 , Cartersville GA 30120-3562. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bruton, Christopher M can be contacted via phone (678) 986-0453.

Contact Information

Primary practice address
200 Leake St Ste 106 Cartersville GA 30120-3562
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 008174 Georgia

Profile Details

NPI number 1386042547
LBN Legal business name Bruton, Christopher M
Credentials PHD, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2014
Last updated Mar 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386042547 NPPES
Georgia MEDICAID 003212881A

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