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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871231381 | NPPES |
| Massachusetts | Other | 2302 | MA BOARD OF ALLIED HEALTH |
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