Individual
NICOLE S BRUNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 EAST BLVD, EMERGENCY DEPARTMENT, ELKHART, IN 46514-2483
(574) 523-3161
(574) 273-1137
Mailing address
600 EAST BLVD, EMERGENCY DEPARTMENT, ELKHART, IN 46514-2483
(574) 523-3161
(574) 273-1137
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01050872
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190010
ANTHEM
IN
05
—
104280367
—
MI
05
—
2003188880
—
IN
01
—
930102252
RAIL ROAD MEDICARE
IN
Enumeration date
07/29/2005
Last updated
12/20/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us