Shutt, Bryce C

Shutt, Bryce C is an individual health care provider with primary practice located at 2400 Ambassador Dr , Waco TX 76712-9702. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Shutt, Bryce C can be contacted via phone (254) 756-4457.

Contact Information

Primary practice address
2400 Ambassador Dr Waco TX 76712-9702
Phone: (254) 756-4457
Fax: (254) 756-1718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J2330 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X J2330 Texas

Profile Details

NPI number 1538128186
LBN Legal business name Shutt, Bryce C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Sep 11th, 2023 - about last year

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 1538128186 NPPES
Texas MEDICAID 161488501

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