Bunt, Richard M
Bunt, Richard M is an sole proprietor health care provider with primary practice located at 4031 Dixie Hwy Ne , Palm Bay FL 32905-3682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bunt, Richard M can be contacted via phone (321) 622-3222.Contact Information
Primary practice address
4031 Dixie Hwy Ne
Palm Bay FL 32905-3682
Phone: (321) 622-3222
Fax: (321) 622-3203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME046834 | Georgia |
Profile Details
| NPI number | 1376619072 |
|---|---|
| LBN Legal business name | Bunt, Richard M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Nov 10th, 2015 - about 11 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 | 1376619072 | NPPES |
| Georgia | MEDICAID | 00815746C | |
| Georgia | MEDICAID | 278284700 |
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