Applebaum, Bruce Jeffrey

Applebaum, Bruce Jeffrey is an individual health care provider with primary practice located at 630 S Fleishel Ave , Tyler TX 75701-2041. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Applebaum, Bruce Jeffrey can be contacted via phone (903) 606-5560.

Contact Information

Primary practice address
630 S Fleishel Ave Tyler TX 75701-2041
Phone: (903) 606-5560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X J3278 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X J3278 Texas

Profile Details

NPI number 1902803679
LBN Legal business name Applebaum, Bruce Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 8th, 2024 - about last year

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 1902803679 NPPES
Texas MEDICAID 137411801

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