Tetalman, Bruce Ira

Tetalman, Bruce Ira is an sole proprietor health care provider with primary practice located at 716 Thimble Shoals Blvd Suite A, Newport News VA 23606-4545. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Independent Medical Examiner, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Tetalman, Bruce Ira can be contacted via phone (757) 323-5516.

Contact Information

Primary practice address
716 Thimble Shoals Blvd Suite A Newport News VA 23606-4545
Phone: (757) 323-5516
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Independent Medical Examiner 202C00000X 0101052269 Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 0101052269 Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 0101052269 Virginia

Profile Details

NPI number 1174843064
LBN Legal business name Tetalman, Bruce Ira
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2010
Last updated Jun 2nd, 2010 - about 14 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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