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Contact Information

JILLYNN F BRUNER, OD
201 S 2ND ST
COLDWATER, OH45828-1747
 Phone: 419-678-3016
 Fax: 419-678-8849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JILLYNN F BRUNER · (Female)

NPI # 1780791681
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/24/2006
Last updated 04/09/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 4175
  • OH Medicaid 0799275
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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