Carlson, Bruce Wayne

Carlson, Bruce Wayne is an individual health care provider with primary practice located at 5946 Nw 88Th Ave , Tamarac FL 33321-4268. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Carlson, Bruce Wayne can be contacted via phone (954) 552-7252.

Contact Information

Primary practice address
5946 Nw 88Th Ave Tamarac FL 33321-4268
Phone: (954) 552-7252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X CRT6075 Florida
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X GN130999 Wyoming
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X RHT90772 California
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 3390 Nebraska

Profile Details

NPI number 1427263599
LBN Legal business name Carlson, Bruce Wayne
Credentials AART
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Jul 8th, 2007 - 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.

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