Reisman, Bruce K

Reisman, Bruce K is an individual health care provider with primary practice located at 3907 Waring Rd Ste 1A , Oceanside CA 92056-4454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Reisman, Bruce K can be contacted via phone (760) 724-8749.

Contact Information

Primary practice address
3907 Waring Rd Ste 1A Oceanside CA 92056-4454
Phone: (760) 724-8749
Fax: (760) 724-2604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X LT4368 New Hampshire
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G59056 California

Profile Details

NPI number 1699785014
LBN Legal business name Reisman, Bruce K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Nov 16th, 2022 - about 2 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 1699785014 NPPES
California Other 00G590560 BLUE SHIELD
California MEDICAID 00G590560 BLUE SHIELD

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