Weickel, Bruce Scott

Weickel, Bruce Scott is an individual health care provider with primary practice located at 250 Park St , Bowling Green KY 42101-1760. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Weickel, Bruce Scott can be contacted via phone (270) 745-1000.

Contact Information

Primary practice address
250 Park St Bowling Green KY 42101-1760
Phone: (270) 745-1000
Fax: (270) 393-1913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4518A Kentucky

Profile Details

NPI number 1093709545
LBN Legal business name Weickel, Bruce Scott
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Oct 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093709545 NPPES
Kentucky Other 000000352891 BLUE CROSS
Kentucky MEDICAID 74009226 BLUE CROSS
Kentucky Other P00231482 BLUE CROSS

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