Duffy, Bruce W
Duffy, Bruce W is an sole proprietor health care provider with primary practice located at 4182 Vitae Springs Rd S , Salem OR 97306-9705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Duffy, Bruce W can be contacted via phone (503) 371-2260.Contact Information
Primary practice address
4182 Vitae Springs Rd S
Salem OR 97306-9705
Phone: (503) 371-2260
Fax: (503) 581-3160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | DO14798 | Oregon |
Profile Details
| NPI number | 1366589905 |
|---|---|
| LBN Legal business name | Duffy, Bruce W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1366589905 | NPPES |
| Oregon | Other | 5004847 | HMO OREGON |
| Oregon | MEDICAID | 176727 | HMO OREGON |
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