Bruyere, Jennifer E

Bruyere, Jennifer E is an individual health care provider with primary practice located at 4235 32Nd Ave S , Minneapolis MN 55406-3315. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Mammography. Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist is her primary health care specialty. Bruyere, Jennifer E can be contacted via phone (612) 729-2205.

Contact Information

Primary practice address
4235 32Nd Ave S Minneapolis MN 55406-3315
Phone: (612) 729-2205
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 373912 Minnesota
Technologists, Technicians & Other Technical Service Providers / Mammography 2471M2300X 373912 Minnesota

Profile Details

NPI number 1033453303
LBN Legal business name Bruyere, Jennifer E
Credentials BA, AAS, RT(R)(M)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2012
Last updated Nov 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033453303 NPPES
Illinois Other 500506806 IEMA DIVISION OF NUCLEAR SAFETY
Illinois Other 373912 IEMA DIVISION OF NUCLEAR SAFETY

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