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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003805565 NPPES
North Carolina Other 093TX BCBS
North Carolina MEDICAID 5901433 BCBS

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