Reid, Bruce Walter

Reid, Bruce Walter is an individual health care provider with primary practice located at 304 Marcella Rd Suite B, Hampton VA 23666-2578. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Reid, Bruce Walter can be contacted via phone (757) 864-0840.

Contact Information

Primary practice address
304 Marcella Rd Suite B Hampton VA 23666-2578
Phone: (757) 864-0840
Fax: (757) 864-0848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101036538 Virginia

Profile Details

NPI number 1780677930
LBN Legal business name Reid, Bruce Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Aug 24th, 2013 - about 12 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 1780677930 NPPES
Virginia MEDICAID 1780677930

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