Born, Bruce Anthony
Born, Bruce Anthony is an sole proprietor health care provider with primary practice located at 15831 W 12 Mile Rd , Southfield MI 48076-3011. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Born, Bruce Anthony can be contacted via phone (248) 559-6763.Contact Information
Primary practice address
15831 W 12 Mile Rd
Southfield MI 48076-3011
Phone: (248) 559-6763
Fax: (248) 559-6774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301005884 | Michigan |
Profile Details
| NPI number | 1649278490 |
|---|---|
| LBN Legal business name | Born, Bruce Anthony |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Sep 17th, 2012 - about 13 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 | 1649278490 | NPPES |
| Michigan | Other | 950F323050 | BLUE CROSS BLUE SHIELD MI |
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