Meyer, Bruce D
Meyer, Bruce D is an individual health care provider with primary practice located at 1996 N D St , San Bernardino CA 92405-3912. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Meyer, Bruce D can be contacted via phone (909) 883-7777.Contact Information
Primary practice address
1996 N D St
San Bernardino CA 92405-3912
Phone: (909) 883-7777
Fax: (909) 883-7773
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G48366 | California |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G48366 | California |
Profile Details
NPI number | 1629018817 |
---|---|
LBN Legal business name | Meyer, Bruce D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2006 |
Last updated | May 13th, 2024 - 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 | 1629018817 | NPPES |
California | MEDICAID | 00G483661 |
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