Daniels, Bruce Lynn

Daniels, Bruce Lynn is an sole proprietor health care provider with primary practice located at 301 Wisteria Dr , Santa Maria CA 93455-1648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Daniels, Bruce Lynn can be contacted via phone (805) 937-7511.

Contact Information

Primary practice address
301 Wisteria Dr Santa Maria CA 93455-1648
Phone: (805) 937-7511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X G15846 California

Profile Details

NPI number 1093884264
LBN Legal business name Daniels, Bruce Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Jul 9th, 2007 - about 17 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 1093884264 NPPES
California MEDICAID 00G158460
California Other G15846

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