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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225028343 NPPES
Oregon MEDICAID 009204
Oregon MEDICAID 226945

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