Dunlap, Bruce Allen
Dunlap, Bruce Allen is an individual health care provider with primary practice located at 1109 Lake Shire Dr , West Columbia SC 29170-3042. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Dunlap, Bruce Allen can be contacted via phone (803) 606-3570.Contact Information
Primary practice address
1109 Lake Shire Dr
West Columbia SC 29170-3042
Phone: (803) 606-3570
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X |
Profile Details
NPI number | 1538247861 |
---|---|
LBN Legal business name | Dunlap, Bruce Allen |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2006 |
Last updated | Jul 9th, 2007 - about 17 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 | 1538247861 | NPPES |
South Carolina | MEDICAID | WP9901 |
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