Chin, Bruce Darrell
Chin, Bruce Darrell is an individual health care provider with primary practice located at 5050 Laguna Blvd Ste 113 , Elk Grove CA 95758-4151. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chin, Bruce Darrell can be contacted via phone (916) 684-7070.Contact Information
Primary practice address
5050 Laguna Blvd Ste 113
Elk Grove CA 95758-4151
Phone: (916) 684-7070
Fax: (916) 684-8048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8208T | California |
Profile Details
| NPI number | 1790830925 |
|---|---|
| LBN Legal business name | Chin, Bruce Darrell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jun 1st, 2011 - about 14 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 | 1790830925 | NPPES |
| California | MEDICAID | SD0082080 |
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