Senior, Bruce H.
Senior, Bruce H. is an sole proprietor health care provider with primary practice located at 2277 First Street , Fort Myers FL 33901. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Senior, Bruce H. can be contacted via phone (239) 337-2020.Contact Information
Primary practice address
2277 First Street
Fort Myers FL 33901
Phone: (239) 337-2020
Fax: (239) 337-7652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0001000 | Florida |
Profile Details
| NPI number | 1194716100 |
|---|---|
| LBN Legal business name | Senior, Bruce H. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jan 27th, 2011 - about 13 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 | 1194716100 | NPPES |
| Florida | MEDICAID | 084290700 |
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