Andrus, Bruce Wayne

Andrus, Bruce Wayne is an individual health care provider with primary practice located at 1 Medical Center Dr Dhmc. Department Of Medicine (Cardiology), Lebanon NH 03756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Andrus, Bruce Wayne can be contacted via phone (603) 650-6118.

Contact Information

Primary practice address
1 Medical Center Dr Dhmc. Department Of Medicine (Cardiology) Lebanon NH 03756
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 42-0011082 Vermont
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 8580 New Hampshire

Profile Details

NPI number 1760426951
LBN Legal business name Andrus, Bruce Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 27th, 2024 - about 9 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760426951 NPPES
Vermont MEDICAID 0001884
Vermont MEDICAID 30004748

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