Daniels, Bruce Alan

Daniels, Bruce Alan is an sole proprietor health care provider with primary practice located at 4221 S Western Ave Ste 4045, Oklahoma City OK 73109-3447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Daniels, Bruce Alan can be contacted via phone (405) 636-1166.

Contact Information

Primary practice address
4221 S Western Ave Ste 4045 Oklahoma City OK 73109-3447
Phone: (405) 636-1166
Fax: (405) 632-8446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 10948 Oklahoma

Profile Details

NPI number 1972584050
LBN Legal business name Daniels, Bruce Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated Sep 22nd, 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 1972584050 NPPES
Oklahoma MEDICAID 100100150A

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