Bruce, James Alvin
Bruce, James Alvin is an sole proprietor health care provider with primary practice located at 2500 Lakeland Dr Ste A, Jackson MS 39232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bruce, James Alvin can be contacted via phone (601) 939-0079.Contact Information
Primary practice address
2500 Lakeland Dr Ste A
Jackson MS 39232
Phone: (601) 939-0079
Fax: (601) 939-6823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 05768 | Mississippi |
Profile Details
| NPI number | 1114020906 |
|---|---|
| LBN Legal business name | Bruce, James Alvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jan 23rd, 2018 - about 7 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 | 1114020906 | NPPES |
| Mississippi | MEDICAID | 00015790 |
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