Jones, Bruce

Jones, Bruce is an individual health care provider with primary practice located at 3635 14Th Ave , Rock Island IL 61201-3069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jones, Bruce can be contacted via phone (309) 788-6244.

Contact Information

Primary practice address
3635 14Th Ave Rock Island IL 61201-3069
Fax: (309) 788-6268
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036061729 Illinois

Profile Details

NPI number 1902869548
LBN Legal business name Jones, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Sep 18th, 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 1902869548 NPPES
Illinois MEDICAID 036061729

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