Belleville, Bruce Raymond
Belleville, Bruce Raymond is an sole proprietor health care provider with primary practice located at 2831 Skimmerhorn St , Fort Collins CO 80526-6275. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine is his primary health care specialty. Belleville, Bruce Raymond can be contacted via phone (970) 223-2274.Contact Information
Primary practice address
2831 Skimmerhorn St
Fort Collins CO 80526-6275
Phone: (970) 223-2274
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 9742 | Montana |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 21657 | Colorado |
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 21657 | Colorado |
Profile Details
NPI number | 1073670873 |
---|---|
LBN Legal business name | Belleville, Bruce Raymond |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 2nd, 2007 |
Last updated | Feb 22nd, 2010 - about 14 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 | 1073670873 | NPPES |
Colorado | MEDICAID | 01216571 | |
Colorado | Other | 150115 |
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