Pucik, Bryan P
Pucik, Bryan P is an individual health care provider with primary practice located at 1230 E. Main Street Mankato Clinic @ Main Street, Mankato MN 56002-8674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pucik, Bryan P can be contacted via phone (507) 625-1811.Contact Information
Primary practice address
1230 E. Main Street Mankato Clinic @ Main Street
Mankato MN 56002-8674
Phone: (507) 625-1811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 53516 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37212 | Minnesota |
Profile Details
| NPI number | 1073592077 |
|---|---|
| LBN Legal business name | Pucik, Bryan P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Jul 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073592077 | NPPES |
| Minnesota | Other | HP18443 | HEALTH PARTNERS |
| Minnesota | Other | 1675630 | HEALTH PARTNERS |
| Minnesota | Other | 410849339 56001 C173 | HEALTH PARTNERS |
| Minnesota | Other | NA2951023852 | HEALTH PARTNERS |
| Minnesota | Other | 56BO8PU | HEALTH PARTNERS |
| Minnesota | Other | 101792 | HEALTH PARTNERS |
| Minnesota | MEDICAID | 805722200 | HEALTH PARTNERS |
| Minnesota | Other | 080159110 | HEALTH PARTNERS |
| Minnesota | Other | 0118371 | HEALTH PARTNERS |
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