Bruce, Brenda L.
Bruce, Brenda L. is an individual health care provider with primary practice located at 200 Clinic Dr , Madisonville KY 42431-1661. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Bruce, Brenda L. can be contacted via phone (270) 825-7200.Contact Information
Primary practice address
200 Clinic Dr
Madisonville KY 42431-1661
Phone: (270) 825-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | SA006 | Kentucky |
Profile Details
| NPI number | 1043399082 |
|---|---|
| LBN Legal business name | Bruce, Brenda L. |
| Credentials | KCSA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1043399082 | NPPES |
| Kentucky | Other | SA006 | LICENSE |
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