Allen, Bruce

Allen, Bruce is an individual health care provider with primary practice located at 1025 Saint Joseph Ln , London KY 40741-8345. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Allen, Bruce can be contacted via phone (606) 330-2370.

Contact Information

Primary practice address
1025 Saint Joseph Ln London KY 40741-8345
Phone: (606) 330-2370
Fax: (606) 877-1593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G30889 California
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G30889 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 55522 Kentucky

Profile Details

NPI number 1639210743
LBN Legal business name Allen, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jun 16th, 2021 - about 5 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 1639210743 NPPES
California Other G30889 LICENSE
California Other 55522 LICENSE
California MEDICAID YYY34803Y LICENSE

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