Bruce, Andrea Maureen
Bruce, Andrea Maureen is an individual health care provider with primary practice located at 701 S Holly Ave , Collins MS 39428-3894. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bruce, Andrea Maureen can be contacted via phone (601) 765-3180.Contact Information
Primary practice address
701 S Holly Ave
Collins MS 39428-3894
Phone: (601) 765-3180
Fax: (601) 765-2808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17397 | Mississippi |
Profile Details
| NPI number | 1295739894 |
|---|---|
| LBN Legal business name | Bruce, Andrea Maureen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295739894 | NPPES |
| Mississippi | MEDICAID | 00124844 |
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