Lockman, Bruce Evan

Lockman, Bruce Evan is an individual health care provider with primary practice located at 270 Commerce Dr Suite 250, Fort Washington PA 19034-2405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lockman, Bruce Evan can be contacted via phone (215) 646-6868.

Contact Information

Primary practice address
270 Commerce Dr Suite 250 Fort Washington PA 19034-2405
Fax: (215) 646-4422
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD 021062E Pennsylvania

Profile Details

NPI number 1588665590
LBN Legal business name Lockman, Bruce Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jun 21st, 2016 - about 8 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 1588665590 NPPES
Pennsylvania MEDICAID 000638673

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