Corregan, Bruce Hunter

Corregan, Bruce Hunter is an individual health care provider with primary practice located at 847 W Lake Dr , Mount Airy NC 27030-2157. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Corregan, Bruce Hunter can be contacted via phone (336) 783-6919.

Contact Information

Primary practice address
847 W Lake Dr Mount Airy NC 27030-2157
Phone: (336) 783-6919
Fax: (336) 786-6312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X S2918 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 472 North Carolina

Profile Details

NPI number 1285852533
LBN Legal business name Corregan, Bruce Hunter
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Jul 31st, 2013 - about 12 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 1285852533 NPPES
North Carolina MEDICAID 6102323

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