Bruce Shickmanter, Md, Pc

LBN: Bruce Shickmanter, Md, Pc
Bruce Shickmanter, Md, Pc is an health care organization with primary practice located at 777 North St Suite 201, Pittsfield MA 01201-4147. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bruce Shickmanter, Md, Pc can be contacted via phone (413) 499-8515, or through Shickmanter, Bruce J via phone (413) 499-8515.

Contact Information

Primary practice address
777 North St Suite 201 Pittsfield MA 01201-4147
Phone: (413) 499-8515
Fax: (413) 442-9161
Website:
Map and Directions
Authorized official contact:
Name: Shickmanter, Bruce J Doctor of Medicine (MD)
Phone: (413) 499-8515

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1205816576
LBN Legal business name Bruce Shickmanter, Md, Pc
DBA Doing business as
Authorized official Shickmanter, Bruce J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205816576 NPPES
Massachusetts MEDICAID 9703641
Massachusetts Other M17611
Massachusetts Other 7768

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