Davis, Bruce Terriel

Davis, Bruce Terriel is an sole proprietor health care provider with primary practice located at 416 Cove Beach Ave , Sheffield Lake OH 44054-1819. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Davis, Bruce Terriel can be contacted via phone (216) 403-5413.

Contact Information

Primary practice address
416 Cove Beach Ave Sheffield Lake OH 44054-1819
Phone: (216) 403-5413
Fax: (440) 332-3820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN102551 Ohio

Profile Details

NPI number 1780716274
LBN Legal business name Davis, Bruce Terriel
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2007
Last updated Jun 14th, 2010 - about 15 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 1780716274 NPPES
Ohio MEDICAID 271-66-72

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