Jackson Dermatology

LBN: David R Bruce Do Inc
Jackson Dermatology is an health care organization with primary practice located at 817 Court St Suite #11, Jackson CA 95642-2156. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty. David R Bruce Do Inc can be contacted via phone (209) 223-0038, or through Bruce, David Randall via phone (209) 223-0038.

Contact Information

Primary practice address
817 Court St Suite #11 Jackson CA 95642-2156
Phone: (209) 223-0038
Fax: (209) 223-0039
Website:
Map and Directions
Authorized official contact:
Name: Bruce, David Randall Doctor of Osteopathy (DO)
Phone: (209) 223-0038

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 20A5045 California

Profile Details

NPI number 1841448297
LBN Legal business name David R Bruce Do Inc
DBA Doing business as Jackson Dermatology
Authorized official Bruce, David Randall Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2008
Last updated Mar 2nd, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841448297 NPPES
California Other 1164466041 NPI

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