Carpenter, Bruce D
Carpenter, Bruce D is an sole proprietor health care provider with primary practice located at 2800 Village Rd 108, Granbury TX 76049-4193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carpenter, Bruce D can be contacted via phone (817) 573-0444.Contact Information
Primary practice address
2800 Village Rd 108
Granbury TX 76049-4193
Phone: (817) 573-0444
Fax: (817) 573-2733
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | F6508 | Texas |
Profile Details
NPI number | 1346298031 |
---|---|
LBN Legal business name | Carpenter, Bruce D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 4th, 2006 |
Last updated | Jan 12th, 2017 - about 7 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 | 1346298031 | NPPES |
Texas | MEDICAID | 130769611 | |
Texas | MEDICAID | 191011901 |
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