Selvage, Bruce Wade
Selvage, Bruce Wade is an sole proprietor health care provider with primary practice located at 1690 Greendale Dr Ne , Cleveland TN 37323-5920. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Selvage, Bruce Wade can be contacted via phone (423) 715-5576.Contact Information
Primary practice address
1690 Greendale Dr Ne
Cleveland TN 37323-5920
Phone: (423) 715-5576
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1882 | Tennessee |
Profile Details
| NPI number | 1851420467 |
|---|---|
| LBN Legal business name | Selvage, Bruce Wade |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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