Bruce, Carrie L

Bruce, Carrie L is an individual health care provider with primary practice located at 1405 N Delsea Dr , Vineland NJ 08360-2291. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Bruce, Carrie L can be contacted via phone (856) 794-1011.

Contact Information

Primary practice address
1405 N Delsea Dr Vineland NJ 08360-2291
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X New Jersey

Profile Details

NPI number 1437895133
LBN Legal business name Bruce, Carrie L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2022
Last updated May 6th, 2022 - about 3 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 1437895133 NPPES
New Jersey MEDICAID 22-3127567

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