Bruce, Allen Thomas

Bruce, Allen Thomas is an individual health care provider with primary practice located at 50 Sewall St , Portland ME 04102-2645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bruce, Allen Thomas can be contacted via phone (207) 775-3526.

Contact Information

Primary practice address
50 Sewall St Portland ME 04102-2645
Phone: (207) 775-3526
Fax: (207) 775-5658
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 018852 Maine
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301083648 Michigan

Profile Details

NPI number 1427175934
LBN Legal business name Bruce, Allen Thomas
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Dec 7th, 2011 - about 14 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 1427175934 NPPES
Michigan Other 5315017780 CONTROLLED SUBSTANCE LICE

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