Nicole S Brunette
Emergency Physician
600 East Blvd Emergency Department
Elkhart
, Indiana 46514-2483
Nicole S Brunette
Emergency Physician
600 East Blvd Emergency Department
Elkhart
, Indiana 46514-2483
(574) 273-1137
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Nicole S Brunette
- 600 East Blvd Emergency Department
- Elkhart, IN
- Zip : 46514-2483
- Fax : (574) 273-1137
- Phone : (574) 523-3161
Second Address
- Nicole S Brunette
- 600 East Blvd Emergency Department
- Elkhart, IN
- Zip : 46514-2483
- Fax : (574) 273-1137
- Phone : (574) 523-3161
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 01050872 | IN |
National Provider Identifier
| NPI | 1003816059 |
|---|---|
| Provider Name | Nicole S Brunette |
| First Address | Elkhart, IN 46514-2483 |
| Second Address | Elkhart, IN 46514-2483 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2005 |
| Last Update Date | 20/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000190010 | ANTHEM (01) | IN |
| 104280367 | (05) | MI |
| 2003188880 | (05) | IN |
| 930102252 | RAIL ROAD MEDICARE (01) | IN |
| H31809 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.