Bruce, Ellen K
Bruce, Ellen K is an individual health care provider with primary practice located at 2474 E Joyce Blvd Suite 3, Fayetteville AR 72703-4519. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bruce, Ellen K can be contacted via phone (479) 409-5067.Contact Information
Primary practice address
2474 E Joyce Blvd Suite 3
Fayetteville AR 72703-4519
Phone: (479) 409-5067
Fax: (479) 521-5439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OTR582 | Arkansas |
Profile Details
| NPI number | 1568435238 |
|---|---|
| LBN Legal business name | Bruce, Ellen K |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568435238 | NPPES |
| Arkansas | Other | 5T726 | BCBS INDIVIDUAL NUMBER |
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