Allen, Bruce
Allen, Bruce is an individual health care provider with primary practice located at 1025 Saint Joseph Ln , London KY 40741-8345. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Allen, Bruce can be contacted via phone (606) 330-2370.Contact Information
Primary practice address
1025 Saint Joseph Ln
London KY 40741-8345
Phone: (606) 330-2370
Fax: (606) 877-1593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G30889 | California |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | G30889 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 55522 | Kentucky |
Profile Details
| NPI number | 1639210743 |
|---|---|
| LBN Legal business name | Allen, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Jun 16th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639210743 | NPPES |
| California | Other | G30889 | LICENSE |
| California | Other | 55522 | LICENSE |
| California | MEDICAID | YYY34803Y | LICENSE |
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