Addison, John Bruce

Addison, John Bruce is an individual health care provider with primary practice located at 997 W Interstate 20 , Colorado City TX 79512-2685. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Addison, John Bruce can be contacted via phone (325) 728-2693.

Contact Information

Primary practice address
997 W Interstate 20 Colorado City TX 79512-2685
Phone: (325) 728-2693
Fax: (325) 728-2420
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J1829 Texas

Profile Details

NPI number 1629094552
LBN Legal business name Addison, John Bruce
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629094552 NPPES
Texas Other J1829 LICENSE

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