Denny, Stuart Bruce
Denny, Stuart Bruce is an sole proprietor health care provider with primary practice located at 1112 W Ironwood Dr , Coeur D Alene ID 83814-2474. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Denny, Stuart Bruce can be contacted via phone (208) 765-5304.Contact Information
Primary practice address
1112 W Ironwood Dr
Coeur D Alene ID 83814-2474
Phone: (208) 765-5304
Fax: (208) 664-8670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M4383 | Idaho |
Profile Details
| NPI number | 1871598862 |
|---|---|
| LBN Legal business name | Denny, Stuart Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jan 20th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871598862 | NPPES |
| Idaho | Other | 00010005261 | BLUE SHIELD IND PROV # |
| Idaho | MEDICAID | 002560500 | BLUE SHIELD IND PROV # |
| Idaho | Other | 43836 | BLUE SHIELD IND PROV # |
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