Harrison, Bruce E
Harrison, Bruce E is an individual health care provider with primary practice located at 204 Green Trail Dr , Farmington MO 63640-9132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Harrison, Bruce E can be contacted via phone (573) 883-7786.Contact Information
Primary practice address
204 Green Trail Dr
Farmington MO 63640-9132
Phone: (573) 883-7786
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | R5J59 | Missouri |
Profile Details
NPI number | 1891759221 |
---|---|
LBN Legal business name | Harrison, Bruce E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 13th, 2006 |
Last updated | Oct 28th, 2008 - about 16 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 | 1891759221 | NPPES |
Missouri | MEDICAID | 205826308 |
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