Hetland, Bruce M

Hetland, Bruce M is an individual health care provider with primary practice located at 401 N 9Th St , Bismarck ND 58501-4507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hetland, Bruce M can be contacted via phone (701) 530-6000.

Contact Information

Primary practice address
401 N 9Th St Bismarck ND 58501-4507
Fax: (701) 530-6430
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4083 North Dakota

Profile Details

NPI number 1346294592
LBN Legal business name Hetland, Bruce M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jun 26th, 2013 - about 11 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 1346294592 NPPES
North Dakota Other 11066671 MEDICARE RAILROAD
North Dakota MEDICAID 12823 MEDICARE RAILROAD

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