Chamberlain, Bruce H

Chamberlain, Bruce H is an individual health care provider with primary practice located at 5131 S Cottonwood St # L-2 , Murray UT 84107-5701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Chamberlain, Bruce H can be contacted via phone (801) 263-3416.

Contact Information

Primary practice address
5131 S Cottonwood St # L-2 Murray UT 84107-5701
Phone: (801) 263-3416
Fax: (801) 263-3428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD-45115 Iowa

Profile Details

NPI number 1285664078
LBN Legal business name Chamberlain, Bruce H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Dec 23rd, 2020 - about 5 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 1285664078 NPPES
Utah Other U000109211 MEDICARE UT PTAN
Utah MEDICAID 1285664078 MEDICARE UT PTAN

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