Yergin, Bruce Mitchell
Yergin, Bruce Mitchell is an individual health care provider with primary practice located at 3627 University Blvd S Ste 300 , Jacksonville FL 32216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Yergin, Bruce Mitchell can be contacted via phone (904) 396-0300.Contact Information
Primary practice address
3627 University Blvd S Ste 300
Jacksonville FL 32216
Phone: (904) 396-0300
Fax: (904) 396-3039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME0021067 | Florida |
Profile Details
| NPI number | 1619962230 |
|---|---|
| LBN Legal business name | Yergin, Bruce Mitchell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Aug 20th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619962230 | NPPES |
| Florida | Other | 5362087 | AETNA |
| Florida | Other | GR172A | AETNA |
| Florida | Other | 78027 | AETNA |
| Florida | Other | 0098365-00 | AETNA |
| Florida | MEDICAID | 0141594-00 | AETNA |
| Florida | Other | PO1615058 | AETNA |
| Florida | Other | 215889 | AETNA |
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