Bruce, Ned C

Bruce, Ned C is an individual health care provider with primary practice located at 401 Phalen Blvd , Saint Paul MN 55130-5302. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bruce, Ned C can be contacted via phone (651) 254-8290.

Contact Information

Primary practice address
401 Phalen Blvd Saint Paul MN 55130-5302
Fax: (651) 254-8299
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9769 Minnesota

Profile Details

NPI number 1851363394
LBN Legal business name Bruce, Ned C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Mar 10th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851363394 NPPES
Minnesota MEDICAID 210893300

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