Todd, John Bruce
Todd, John Bruce is an individual health care provider with primary practice located at 1418A Maccorkle Ave Sw , Charleston WV 25303. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Todd, John Bruce can be contacted via phone (304) 348-1288.Contact Information
Primary practice address
1418A Maccorkle Ave Sw
Charleston WV 25303
Phone: (304) 348-1288
Fax: (304) 348-1262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 710 | West Virginia |
Profile Details
| NPI number | 1730101569 |
|---|---|
| LBN Legal business name | Todd, John Bruce |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1730101569 | NPPES |
| West Virginia | MEDICAID | 9205058000 |
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