Bruce, Jessica M
Bruce, Jessica M is an sole proprietor health care provider with primary practice located at 432 3Rd Ave , Ford City PA 16226-1003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bruce, Jessica M can be contacted via phone (724) 763-9200.Contact Information
Primary practice address
432 3Rd Ave
Ford City PA 16226-1003
Phone: (724) 763-9200
Fax: (724) 763-9235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1346691128 |
|---|---|
| LBN Legal business name | Bruce, Jessica M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2016 |
| Last updated | Nov 28th, 2017 - 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 | 1346691128 | NPPES |
| Pennsylvania | MEDICAID | 103179880-0001 |
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