Abbott, Bruce Alan

Abbott, Bruce Alan is an sole proprietor health care provider with primary practice located at 10Th Medical Group 4102 Pinion Drive, Usaf Academy CO 80840. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Abbott, Bruce Alan can be contacted via phone (540) 850-3590.

Contact Information

Primary practice address
10Th Medical Group 4102 Pinion Drive Usaf Academy CO 80840
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1111111111 Tennessee
Dental Providers / Dentist 122300000X DN27904 Florida

Profile Details

NPI number 1790073609
LBN Legal business name Abbott, Bruce Alan
Credentials DDS, PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2011
Last updated Aug 16th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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