Johnston, Bruce Samuel

Johnston, Bruce Samuel is an individual health care provider with primary practice located at 901 W Greenwood St Suite 9, Abbeville SC 29620-5678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnston, Bruce Samuel can be contacted via phone (864) 366-9681.

Contact Information

Primary practice address
901 W Greenwood St Suite 9 Abbeville SC 29620-5678
Phone: (864) 366-9681
Fax: (864) 366-5600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8390 South Carolina

Profile Details

NPI number 1164422770
LBN Legal business name Johnston, Bruce Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Mar 7th, 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 1164422770 NPPES
South Carolina Other 576000003 TAX ID
South Carolina MEDICAID RHC210 TAX ID
South Carolina Other 080172913 TAX ID

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