Andersen, Bruce A
Andersen, Bruce A is an individual health care provider with primary practice located at 109 Railroad Ave , Las Vegas NM 87701. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Andersen, Bruce A can be contacted via phone (505) 425-9491.Contact Information
Primary practice address
109 Railroad Ave
Las Vegas NM 87701
Phone: (505) 425-9491
Fax: (505) 454-8171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 163 | New Mexico |
Profile Details
| NPI number | 1609960699 |
|---|---|
| LBN Legal business name | Andersen, Bruce A |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | May 7th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609960699 | NPPES |
| Other | 005351 | BCBS | |
| Other | 10478 | BCBS |
Popular Providers
-
Fisher, David H.
335 N Solano Dr , Las Cruces NM 88001-2930 -
Morgan, Jack
500 N Garfield Ave Ste 108, Monterey Park CA 91754-1242 -
Rootring, John
8280 Montgomery Rd Ste 103 , Cincinnati OH 45236-6101 -
Nadalin, Richard
453 Waterbury Ct Ste 200, Gahanna OH 43230-5309 -
Deetz, David L
710 S Alameda Blvd , Las Cruces NM 88005-2928 -
Mullan, Robert B
2445 S Telshore Blvd , Las Cruces NM 88011 -
Gillis, Douglas Terry
780 S Walnut St Suite 3, Las Cruces NM 88001-1425 -
Muojieje, Yvonne Miriaku
4500 N Sonoma Ranch Blvd , Las Cruces NM 88011-7334