Bruce, Charles E.

Bruce, Charles E. is an individual health care provider with primary practice located at 901 E 3Rd St , Washington MO 63090-3010. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Bruce, Charles E. can be contacted via phone (636) 390-3999.

Contact Information

Primary practice address
901 E 3Rd St Washington MO 63090-3010
Phone: (636) 390-3999
Fax: (636) 390-3959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X T03376 Missouri

Profile Details

NPI number 1609868140
LBN Legal business name Bruce, Charles E.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Feb 25th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609868140 NPPES
Missouri MEDICAID 318906229

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