Bruce, Russell Eugene

Bruce, Russell Eugene is an sole proprietor health care provider with primary practice located at 425 Piper Rd , West Springfield MA 01089-1799. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bruce, Russell Eugene can be contacted via phone (413) 263-3400.

Contact Information

Primary practice address
425 Piper Rd West Springfield MA 01089-1799
Phone: (413) 263-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 2302 Massachusetts

Profile Details

NPI number 1871231381
LBN Legal business name Bruce, Russell Eugene
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2022
Last updated May 24th, 2022 - 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 1871231381 NPPES
Massachusetts Other 2302 MA BOARD OF ALLIED HEALTH

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