Andrus, Bruce Wayne
Andrus, Bruce Wayne is an individual health care provider with primary practice located at 1 Medical Center Dr Dhmc. Department Of Medicine (Cardiology), Lebanon NH 03756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Andrus, Bruce Wayne can be contacted via phone (603) 650-6118.Contact Information
Primary practice address
1 Medical Center Dr Dhmc. Department Of Medicine (Cardiology)
Lebanon NH 03756
Phone: (603) 650-6118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 42-0011082 | Vermont |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 8580 | New Hampshire |
Profile Details
| NPI number | 1760426951 |
|---|---|
| LBN Legal business name | Andrus, Bruce Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Mar 27th, 2024 - about 2 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 | 1760426951 | NPPES |
| Vermont | MEDICAID | 0001884 | |
| Vermont | MEDICAID | 30004748 |
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