Shickmanter, Bruce J

Shickmanter, Bruce J is an individual health care provider with primary practice located at 777 North St Suite 201, Pittsfield MA 01201-4147. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shickmanter, Bruce J can be contacted via phone (413) 499-8515.

Contact Information

Primary practice address
777 North St Suite 201 Pittsfield MA 01201-4147
Phone: (413) 499-8515
Fax: (413) 442-9161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 44340 Massachusetts

Profile Details

NPI number 1265402325
LBN Legal business name Shickmanter, Bruce J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265402325 NPPES
Massachusetts Other 773735 TUFTS HEALTHPLAN
Massachusetts MEDICAID 2071711 TUFTS HEALTHPLAN
Massachusetts Other I22260 TUFTS HEALTHPLAN
Massachusetts Other 10034408 TUFTS HEALTHPLAN
Massachusetts MEDICAID 00536214 TUFTS HEALTHPLAN
Massachusetts Other 16388 TUFTS HEALTHPLAN
Massachusetts Other 833694 TUFTS HEALTHPLAN
Massachusetts Other D82851 TUFTS HEALTHPLAN

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