Bobek, Bruce Louis
Bobek, Bruce Louis is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bobek, Bruce Louis can be contacted via phone (360) 501-3601.Contact Information
Primary practice address
1615 Delaware St
Longview WA 98632-2367
Phone: (360) 501-3601
Fax: (360) 501-3648
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OP60928203 | Washington |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO16469 | Oregon |
Profile Details
NPI number | 1225028343 |
---|---|
LBN Legal business name | Bobek, Bruce Louis |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 28th, 2005 |
Last updated | Mar 31st, 2022 - about 2 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 | 1225028343 | NPPES |
Oregon | MEDICAID | 009204 | |
Oregon | MEDICAID | 226945 |
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