Anderson, Bruce Alan
Anderson, Bruce Alan is an individual health care provider with primary practice located at 2864 Ashmun Street Sault Tribal Health Center, Sault Ste Marie MI 49783. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Bruce Alan can be contacted via phone (906) 632-5200.Contact Information
Primary practice address
2864 Ashmun Street Sault Tribal Health Center
Sault Ste Marie MI 49783
Phone: (906) 632-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901015521 | Michigan |
Profile Details
| NPI number | 1013923010 |
|---|---|
| LBN Legal business name | Anderson, Bruce Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1013923010 | NPPES |
| Michigan | MEDICAID | 2849111 |
Popular Providers
-
Alvarado, Frank A.
2850 Artesia Blvd Ste 210, Redondo Beach CA 90278-3413 -
Winn, Frank O.
4551 Gautier Vancleave Rd Ste A, Gautier MS 39553-4810 -
Bacheler, William Burgess
709 Johnston St , Sault Sainte Marie MI 49783-2335 -
Raiber, Robert Brian
630 5Th Ave , New York NY 10111-0100 -
James, Sue
9351 Grant St Ste 340, Denver CO 80229-4365 -
Shunk, Clayton C
709 Johnston St , Sault Sainte Marie MI 49783-2335 -
Moskowitz, Steven A.
1517 Packer Ave , Philadelphia PA 19145-4910 -
Osland, Shannon
2864 Ashmun St , Sault Sainte Marie MI 49783-3740