Kornfeld, Bruce W
Kornfeld, Bruce W is an sole proprietor health care provider with primary practice located at 1907 Boise Ave , Loveland CO 80538-5016. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Kornfeld, Bruce W can be contacted via phone (970) 682-3377.Contact Information
Primary practice address
1907 Boise Ave
Loveland CO 80538-5016
Phone: (970) 682-3377
Fax: (970) 682-3340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 27691 | Colorado |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 27691 | Colorado |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 27691 | Colorado |
Profile Details
| NPI number | 1326074774 |
|---|---|
| LBN Legal business name | Kornfeld, Bruce W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Aug 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326074774 | NPPES |
| Wyoming | MEDICAID | 113923100 | |
| Wyoming | MEDICAID | 01276914 |
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