Pate, Bruce Alan
Pate, Bruce Alan is an sole proprietor health care provider with primary practice located at 2900 Croasdaile Dr Ste. 6, Durham NC 27705-2579. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pate, Bruce Alan can be contacted via phone (919) 683-2020.Contact Information
Primary practice address
2900 Croasdaile Dr Ste. 6
Durham NC 27705-2579
Phone: (919) 683-2020
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1962 | North Carolina |
Profile Details
NPI number | 1003805565 |
---|---|
LBN Legal business name | Pate, Bruce Alan |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 18th, 2005 |
Last updated | Mar 6th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003805565 | NPPES |
North Carolina | Other | 093TX | BCBS |
North Carolina | MEDICAID | 5901433 | BCBS |
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