Allen, Bruce Stuart
Allen, Bruce Stuart is an sole proprietor health care provider with primary practice located at 1338 Old Forsyth Rd , Macon GA 31210-7205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Allen, Bruce Stuart can be contacted via phone (478) 471-7788.Contact Information
Primary practice address
1338 Old Forsyth Rd
Macon GA 31210-7205
Phone: (478) 471-7788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 20294 | Georgia |
Profile Details
| NPI number | 1558603969 |
|---|---|
| LBN Legal business name | Allen, Bruce Stuart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2013 |
| Last updated | Mar 24th, 2013 - about 12 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 | 1558603969 | NPPES |
| Georgia | Other | 20294 | GEORGIA MEDICAL LICENCE NUMBER |
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