Bruce, Joan A.
Bruce, Joan A. is an sole proprietor health care provider with primary practice located at 572 Route 28 , West Yarmouth MA 02673-4909. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bruce, Joan A. can be contacted via phone (508) 775-0719.Contact Information
Primary practice address
572 Route 28
West Yarmouth MA 02673-4909
Phone: (508) 775-0719
Fax: (508) 775-5309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 84751-PC | Massachusetts |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Massachusetts |
Profile Details
| NPI number | 1417960808 |
|---|---|
| LBN Legal business name | Bruce, Joan A. |
| Credentials | ARNP, ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jul 8th, 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 | 1417960808 | NPPES |
| Massachusetts | MEDICAID | 1895516 | |
| Massachusetts | Other | PK0041 | |
| Massachusetts | Other | 49619 |
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