Barry, Bruce George
Barry, Bruce George is an sole proprietor health care provider with primary practice located at 105 Kings Lynn Rd , Stoughton WI 53589-1999. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Barry, Bruce George can be contacted via phone (608) 873-2020.Contact Information
Primary practice address
105 Kings Lynn Rd
Stoughton WI 53589-1999
Phone: (608) 873-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1407908254 |
|---|---|
| LBN Legal business name | Barry, Bruce George |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 8th, 2007 - 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 | 1407908254 | NPPES |
| Wisconsin | MEDICAID | 38709100 |
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