Albert, Bruce Michael

Albert, Bruce Michael is an individual health care provider with primary practice located at 400 Pine Brook Pl Suite4, Orwigsburg PA 17961-2350. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Albert, Bruce Michael can be contacted via phone (570) 366-3739.

Contact Information

Primary practice address
400 Pine Brook Pl Suite4 Orwigsburg PA 17961-2350
Phone: (570) 366-3739
Fax: (570) 366-3708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS-004891-L Pennsylvania

Profile Details

NPI number 1407826936
LBN Legal business name Albert, Bruce Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1407826936 NPPES
Pennsylvania Other AL612875 HIGHMARK BLUE SHIELD
Pennsylvania Other 01969502 HIGHMARK BLUE SHIELD

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