Monson, Bruce

Monson, Bruce is an individual health care provider with primary practice located at 429 S Landmark Ave , Bloomington IN 47403-5003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Monson, Bruce can be contacted via phone (812) 332-8242.

Contact Information

Primary practice address
429 S Landmark Ave Bloomington IN 47403-5003
Fax: (812) 333-7684
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01042545A Indiana

Profile Details

NPI number 1225096068
LBN Legal business name Monson, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jul 26th, 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 1225096068 NPPES
Indiana MEDICAID 100465830
Indiana Other 300072204
Indiana Other P00072201

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