Pugatch, Bruce S.

Pugatch, Bruce S. is an individual health care provider with primary practice located at 1301 15Th Ave W , Williston ND 58801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pugatch, Bruce S. can be contacted via phone (701) 774-7400.

Contact Information

Primary practice address
1301 15Th Ave W Williston ND 58801
Phone: (701) 774-7400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 104666 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10451 North Dakota

Profile Details

NPI number 1700862232
LBN Legal business name Pugatch, Bruce S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Aug 1st, 2018 - about 7 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 1700862232 NPPES
North Dakota MEDICAID 1451817

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