Bruce, Daniel W.

Bruce, Daniel W. is an sole proprietor health care provider with primary practice located at 708 Everett St , Tiptonville TN 38079. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Other Service Providers / Legal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bruce, Daniel W. can be contacted via phone (731) 882-1135.

Contact Information

Primary practice address
708 Everett St Tiptonville TN 38079
Phone: (731) 882-1135
Fax: (731) 859-4404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD23021 Tennessee
Other Service Providers / Legal Medicine 173000000X MD23021 Tennessee

Profile Details

NPI number 1508807736
LBN Legal business name Bruce, Daniel W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Aug 31st, 2011 - about 14 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 1508807736 NPPES
Tennessee Other 21913 MEMPHIS MANAGED CARE
Tennessee MEDICAID 4447958 MEMPHIS MANAGED CARE
Tennessee Other 182011 MEMPHIS MANAGED CARE

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