Surace, Bruce William
Surace, Bruce William is an individual health care provider with primary practice located at 59 Middle Country Rd , Middle Island NY 11953-2502. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Surace, Bruce William can be contacted via phone (631) 732-1615.Contact Information
Primary practice address
59 Middle Country Rd
Middle Island NY 11953-2502
Phone: (631) 732-1615
Fax: (631) 732-1612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | X005240 | New York |
Profile Details
| NPI number | 1407843444 |
|---|---|
| LBN Legal business name | Surace, Bruce William |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Dec 6th, 2011 - about 13 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 | 1407843444 | NPPES |
| New York | Other | C052409 | W COMP |
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