Bruce, Carl T
Bruce, Carl T is an individual health care provider with primary practice located at 1 Colony Centre Way , Simpsonville SC 29681-3286. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bruce, Carl T can be contacted via phone (864) 458-3900.Contact Information
Primary practice address
1 Colony Centre Way
Simpsonville SC 29681-3286
Phone: (864) 458-3900
Fax: (864) 967-9118
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD83604 | South Carolina |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 35135824 | Ohio |
Profile Details
NPI number | 1043691124 |
---|---|
LBN Legal business name | Bruce, Carl T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2015 |
Last updated | Nov 9th, 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 | 1043691124 | NPPES |
South Carolina | MEDICAID | 836046 | |
South Carolina | MEDICAID | 0175278 |
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