Reid, Bruce Bennett
Reid, Bruce Bennett is an individual health care provider with primary practice located at 324 10Th Ave #154, Salt Lake City UT 84103-2853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Reid, Bruce Bennett can be contacted via phone (801) 408-8666.Contact Information
Primary practice address
324 10Th Ave #154
Salt Lake City UT 84103-2853
Phone: (801) 408-8666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 3186281205 | Utah |
Profile Details
| NPI number | 1093757965 |
|---|---|
| LBN Legal business name | Reid, Bruce Bennett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1093757965 | NPPES |
| Utah | MEDICAID | 942854059169 |
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