Short, Bruce J
Short, Bruce J is an sole proprietor health care provider with primary practice located at 1041 Sterling Rd Suite 101, Herndon VA 20170-3869. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Short, Bruce J can be contacted via phone (703) 481-4400.Contact Information
Primary practice address
1041 Sterling Rd Suite 101
Herndon VA 20170-3869
Phone: (703) 481-4400
Fax: (703) 935-0430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 0104555886 | Virginia |
Profile Details
| NPI number | 1497761381 |
|---|---|
| LBN Legal business name | Short, Bruce J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497761381 | NPPES |
| District of Columbia | Other | F964-0001 | CAREFIRST BC/BS |
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