Bruce, Ellen Raeburn
Bruce, Ellen Raeburn is an individual health care provider with primary practice located at 1818 Merriman Ave , Charlotte NC 28203-4612. 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 Raeburn can be contacted via phone (919) 593-3582.Contact Information
Primary practice address
1818 Merriman Ave
Charlotte NC 28203-4612
Phone: (919) 593-3582
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 6050 | North Carolina |
Profile Details
| NPI number | 1205045408 |
|---|---|
| LBN Legal business name | Bruce, Ellen Raeburn |
| Credentials | M.S., OTR&L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Aug 11th, 2021 - 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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