Jenne, Bruce A.
Jenne, Bruce A. is an individual health care provider with primary practice located at 430 W Main St Ste 1 , Dothan AL 36301-1616. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jenne, Bruce A. can be contacted via phone (334) 794-0507.Contact Information
Primary practice address
430 W Main St Ste 1
Dothan AL 36301-1616
Phone: (334) 794-0507
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PTH2193 | Alabama |
Profile Details
| NPI number | 1689732372 |
|---|---|
| LBN Legal business name | Jenne, Bruce A. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1689732372 | NPPES |
| Alabama | Other | PTH2193 | PHYSICAL LICENSE |
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