Body, Bruce W.
Body, Bruce W. is an individual health care provider with primary practice located at 1824 East Third St. , Williamsport PA 17701-6063. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Body, Bruce W. can be contacted via phone (570) 601-2200.Contact Information
Primary practice address
1824 East Third St.
Williamsport PA 17701-6063
Phone: (570) 601-2200
Fax: (570) 601-2202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 52766 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA002013L | Pennsylvania |
Profile Details
| NPI number | 1467430942 |
|---|---|
| LBN Legal business name | Body, Bruce W. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Aug 30th, 2020 - about 5 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 | 1467430942 | NPPES |
| Pennsylvania | Other | 106930 | MEDICARE |
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