Bouslough, David Bruce

Bouslough, David Bruce is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bouslough, David Bruce can be contacted via phone (860) 442-0711.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320
Phone: (860) 442-0711
Fax: (203) 688-9638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A96799 American Samoa
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD11583 Rhode Island
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 62616 Connecticut

Profile Details

NPI number 1407870330
LBN Legal business name Bouslough, David Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 28th, 2020 - about 4 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 1407870330 NPPES
Rhode Island Other 1407870330 NPI
Rhode Island MEDICAID 7056948 NPI
Rhode Island Other 06222010 NPI
Rhode Island Other 07082010 NPI
Rhode Island Other 12142010 NPI
Rhode Island Other 939025129 NPI
Rhode Island Other 06292010 NPI

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