Donigan, Bruce

Donigan, Bruce is an sole proprietor health care provider with primary practice located at 3011 W. Grand Blvd. Suite 862, Detroit MI 48202-3012. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Donigan, Bruce can be contacted via phone (313) 871-1100.

Contact Information

Primary practice address
3011 W. Grand Blvd. Suite 862 Detroit MI 48202-3012
Fax: (313) 871-5376
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12986 Michigan

Profile Details

NPI number 1013997725
LBN Legal business name Donigan, Bruce
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated Mar 31st, 2014 - about 10 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 1013997725 NPPES
Michigan MEDICAID 1860141

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