Haight, Bruce T
Haight, Bruce T is an sole proprietor health care provider with primary practice located at 5565 Grossmont Center Dr Ste 551 , La Mesa CA 91942-3078. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Haight, Bruce T can be contacted via phone (619) 465-2020.Contact Information
Primary practice address
5565 Grossmont Center Dr Ste 551
La Mesa CA 91942-3078
Phone: (619) 465-2020
Fax: (619) 698-1189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G41117 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G41117 | California |
Profile Details
| NPI number | 1427029628 |
|---|---|
| LBN Legal business name | Haight, Bruce T |
| Credentials | M.D., INC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jul 11th, 2019 - about 5 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 | 1427029628 | NPPES |
| California | MEDICAID | 00G411170 |
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