Bob, Bruce Alan

Bob, Bruce Alan is an individual health care provider with primary practice located at 77 Cadillac Dr Suite 230, Sacramento CA 95825-5453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bob, Bruce Alan can be contacted via phone (916) 920-2082.

Contact Information

Primary practice address
77 Cadillac Dr Suite 230 Sacramento CA 95825-5453
Phone: (916) 920-2082
Fax: (916) 920-1430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G24577 California

Profile Details

NPI number 1841267234
LBN Legal business name Bob, Bruce Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841267234 NPPES
California MEDICAID 00G245770

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