St Amour, Bruce Alfred

St Amour, Bruce Alfred is an individual health care provider with primary practice located at 1900 Electric Rd , Salem VA 24153-7494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. St Amour, Bruce Alfred can be contacted via phone (540) 776-4000.

Contact Information

Primary practice address
1900 Electric Rd Salem VA 24153-7494
Phone: (540) 776-4000
Fax: (540) 776-4196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 014898 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0102205608 Virginia

Profile Details

NPI number 1821030040
LBN Legal business name St Amour, Bruce Alfred
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated May 28th, 2019 - about 6 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 1821030040 NPPES
Michigan MEDICAID 114832768
Michigan MEDICAID 114773193
Michigan Other BS014898

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