Bruice, Kenton T
Bruice, Kenton T is an sole proprietor health care provider with primary practice located at 100 E Main St , Aspen CO 81611-1780. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bruice, Kenton T can be contacted via phone (970) 925-6655.Contact Information
Primary practice address
100 E Main St
Aspen CO 81611-1780
Phone: (970) 925-6655
Fax: (970) 920-6738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 37319 | Colorado |
Profile Details
| NPI number | 1487692117 |
|---|---|
| LBN Legal business name | Bruice, Kenton T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Aug 26th, 2008 - about 18 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 | 1487692117 | NPPES |
| Colorado | MEDICAID | 01373190 |
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