Bruce, Kyle W
Bruce, Kyle W is an individual health care provider with primary practice located at 305 Bicentennial Hwy , Springfield MA 01118-1962. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bruce, Kyle W can be contacted via phone (413) 733-4101.Contact Information
Primary practice address
305 Bicentennial Hwy
Springfield MA 01118-1962
Phone: (413) 733-4101
Fax: (413) 598-7876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 2433 | Massachusetts |
Profile Details
| NPI number | 1306137906 |
|---|---|
| LBN Legal business name | Bruce, Kyle W |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2011 |
| Last updated | Feb 1st, 2016 - about 9 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 | 1306137906 | NPPES |
| Massachusetts | MEDICAID | 110104571/A |
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