Nielson, Bruce Roderick

Nielson, Bruce Roderick is an sole proprietor health care provider with primary practice located at 415 Ne 194Th St Unit 1, Ridgefield WA 98642-9496. He recently has 4 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Nursing Service Related Providers / Nurse's Aide. Technologists, Technicians & Other Technical Service Providers / Surgical Technologist is his primary health care specialty. Nielson, Bruce Roderick can be contacted via phone (360) 936-1096.

Contact Information

Primary practice address
415 Ne 194Th St Unit 1 Ridgefield WA 98642-9496
Phone: (360) 936-1096
Fax: (425) 216-9433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X ST00001996 Washington
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X XT00004606 Washington
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X MA00153098 Washington
Nursing Service Related Providers / Nurse's Aide 376K00000X NA00153098 Washington

Profile Details

NPI number 1043600836
LBN Legal business name Nielson, Bruce Roderick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2015
Last updated Jan 30th, 2015 - about 9 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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