Bruno, Jerome Mark

Bruno, Jerome Mark is an sole proprietor health care provider with primary practice located at 216 8Th St , Lafayette LA 70501-7163. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Bruno, Jerome Mark can be contacted via phone (985) 397-0290.

Contact Information

Primary practice address
216 8Th St Lafayette LA 70501-7163
Phone: (985) 397-0290
Fax: (225) 931-9664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 1171824 Louisiana

Profile Details

NPI number 1508515560
LBN Legal business name Bruno, Jerome Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2022
Last updated Mar 22nd, 2022 - about 2 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 1508515560 NPPES
Louisiana MEDICAID 1171824

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