Iteld, Bruce J

Iteld, Bruce J is an individual health care provider with primary practice located at 1810 Lindberg Dr Ste 2100 , Slidell LA 70458-8064. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Iteld, Bruce J can be contacted via phone (985) 649-2700.

Contact Information

Primary practice address
1810 Lindberg Dr Ste 2100 Slidell LA 70458-8064
Phone: (985) 649-2700
Fax: (985) 649-2950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 012398 Louisiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 012398 Louisiana
Other Service Providers / Specialist 174400000X 012398 Louisiana

Profile Details

NPI number 1588600894
LBN Legal business name Iteld, Bruce J
Credentials MD,FACC,FCCP,FSCAI
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Nov 24th, 2023 - about last year

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 1588600894 NPPES
Louisiana MEDICAID 1136425

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