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
Fax: (864) 967-9118
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043691124 NPPES
South Carolina MEDICAID 836046
South Carolina MEDICAID 0175278

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