Abbott, Bruce E

Abbott, Bruce E is an sole proprietor health care provider with primary practice located at 110 Woodfield Dr , Greenville PA 16125. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Abbott, Bruce E can be contacted via phone (724) 588-6160.

Contact Information

Primary practice address
110 Woodfield Dr Greenville PA 16125
Phone: (724) 588-6160
Fax: (724) 588-0122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC002545L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC002545L Pennsylvania

Profile Details

NPI number 1285618058
LBN Legal business name Abbott, Bruce E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2005
Last updated Apr 14th, 2008 - about 18 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 1285618058 NPPES
Pennsylvania MEDICAID 0010401540003

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