Bruce, Sidney D
Bruce, Sidney D is an individual health care provider with primary practice located at 5177 Mccarty Ln , Lafayette IN 47905-8764. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Bruce, Sidney D can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
5177 Mccarty Ln
Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01068988A | Indiana |
Profile Details
| NPI number | 1003044520 |
|---|---|
| LBN Legal business name | Bruce, Sidney D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2009 |
| Last updated | Mar 15th, 2021 - about 4 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 | 1003044520 | NPPES |
| Indiana | MEDICAID | 300025350 |
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