Andich, Bruce Robert
Andich, Bruce Robert is an sole proprietor health care provider with primary practice located at 88 Madrone St , Willits CA 95490-4249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Andich, Bruce Robert can be contacted via phone (707) 459-6115.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G23109 | California |
Profile Details
| NPI number | 1982682381 |
|---|---|
| LBN Legal business name | Andich, Bruce Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Feb 15th, 2011 - about 13 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 | 1982682381 | NPPES |
| California | Other | 00G231090 | MEDICARE ID-TYPE UNSPECIFIED |
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