Burns, Bruce Mallory
Burns, Bruce Mallory is an individual health care provider with primary practice located at 800 N Fant St , Anderson SC 29621-5708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Burns, Bruce Mallory can be contacted via phone (864) 226-0511.Contact Information
Primary practice address
800 N Fant St
Anderson SC 29621-5708
Phone: (864) 226-0511
Fax: (864) 231-7018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 13947 | South Carolina |
Profile Details
| NPI number | 1932259538 |
|---|---|
| LBN Legal business name | Burns, Bruce Mallory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Oct 9th, 2007 - about 17 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 | 1932259538 | NPPES |
| South Carolina | Other | 57-0853635 | CHAMPUS |
| South Carolina | Other | 00259223C | CHAMPUS |
| South Carolina | Other | 300020824 | CHAMPUS |
| South Carolina | MEDICAID | TL4055 | CHAMPUS |
| South Carolina | Other | 57-0853635 | CHAMPUS |
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