Bruce, Michael Lynn
Bruce, Michael Lynn is an individual health care provider with primary practice located at 8230 Summa Ave Ste C , Baton Rouge LA 70809-3421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bruce, Michael Lynn can be contacted via phone (225) 757-0552.Contact Information
Primary practice address
8230 Summa Ave Ste C
Baton Rouge LA 70809-3421
Phone: (225) 757-0552
Fax: (225) 763-9997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 021314 | Louisiana |
Profile Details
| NPI number | 1326027632 |
|---|---|
| LBN Legal business name | Bruce, Michael Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Apr 14th, 2014 - about 10 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 | 1326027632 | NPPES |
| Louisiana | MEDICAID | 1681148 |
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