Douglas Bowen Brunker in Salt Lake City - Clinical
Douglas Bowen Brunker - NPI 1154306421
Douglas Bowen Brunker is a Clinical in Salt Lake City, Utah. Douglas Bowen Brunker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Douglas Bowen Brunker is 1154306421. The last update date is 2007-07-08.
Douglas Bowen Brunker's current location address is 44 W Broadway Apt 1008, Salt Lake City, Utah. You can contact this provider via phone number 8015810194 and fax number 8015810193. The mailing address for Douglas Bowen Brunker is 44 W Broadway Apt 1008, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Bowen Brunker |
|---|---|
| Address | 44 W Broadway Apt 1008, Salt Lake City, Utah |
| Phone Number | 8015810194 |
| Fax Number | 8015810193 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1154306421 |
|---|---|
| Provider Enumeration Date | 2005-12-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 44 W Broadway Apt 1008 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841013210 |
| Phone Number | 8015810194 |
| Fax Number | 8015810193 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1401633501 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 261871 | UT | DESERET MUTUAL | |
| 942938348BR1 | UT | EDUCATORS MUTUAL | |
| 107032396101 | UT | INTRMTN. HEALTH CARE |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas Bowen Brunker by the Centers for Medicare & Medicaid Services?
The Douglas Bowen Brunker has been assigned the NPI (National Provider Identifier) 1154306421. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Douglas Bowen Brunker's facilities are situated?
The facilities of Douglas Bowen Brunker are physically located at the following address: 44 W Broadway Apt 1008, Salt Lake City, UT, 841013210.
What is the Douglas Bowen Brunker's area of specialization and corresponding taxonomy classification?
The Douglas Bowen Brunker's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When was the Douglas Bowen Brunker's 1154306421 issued?
The Douglas Bowen Brunker's 1154306421 was issued on 2005-12-09.
As of what date were the Douglas Bowen Brunker's details last updated?
The information pertaining to the Douglas Bowen Brunker, including its address, specialty, and other details, was most recently updated on 2007-07-08.