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Contact Information

MIKAEL L BRUCKER, LAC, ND
710 MEETINGHOUSE RD
ELKINS PARK, PA19027
 Phone: 215-919-1166
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Naturopath

175F00000X
Indicates primary specialty

NPI Profile & details for MIKAEL L BRUCKER · (Male)

NPI # 1003384926
Status Active
Credentials LAC, ND
Entity Individual
Enumeration date 11/08/2018
Last updated 11/08/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # AK001281
  • VT License # 099.0134073
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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