Smith, Bruce D
Smith, Bruce D is an individual health care provider with primary practice located at 4017 Rawlins St , Cheyenne WY 82001-1800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Smith, Bruce D can be contacted via phone (307) 635-2562.Contact Information
Primary practice address
4017 Rawlins St
Cheyenne WY 82001-1800
Phone: (307) 635-2562
Fax: (307) 432-2676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 6931A | Wyoming |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 20195 | Nebraska |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 1724 | South Dakota |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 27005 | Iowa |
Profile Details
| NPI number | 1518047588 |
|---|---|
| LBN Legal business name | Smith, Bruce D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jan 31st, 2014 - about 11 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 | 1518047588 | NPPES |
| Wyoming | MEDICAID | 1185322 00 | |
| Wyoming | Other | P00048676 | |
| Wyoming | Other | 312201 |
Popular Providers
-
Callaway, George Hadley
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Sellers, Richard Graham
4700 Bayou Blvd Ste 1C , Pensacola FL 32503-2670 -
Smith, Lyman S-W
3001 Edwards Mill Rd , Raleigh NC 27612-5243 -
Wyker, Robert T
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Kobs, Jeffrey K
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Weiss, Kenneth S
6286 Briarcrest Ave Ste 200 , Memphis TN 38120-4023 -
Pesson, Charles Matthew
245 Flemingsburg Rd , Morehead KY 40351-1015 -
Cooper, Jerald L
7601 W Jefferson Blvd , Fort Wayne IN 46804-4133