Barbour, Bruce Stephen

Barbour, Bruce Stephen is an individual health care provider with primary practice located at 900 E Michigan Ave Ste 106, Jackson MI 49201-2457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Barbour, Bruce Stephen can be contacted via phone (517) 787-1995.

Contact Information

Primary practice address
900 E Michigan Ave Ste 106 Jackson MI 49201-2457
Phone: (517) 787-1995
Fax: (517) 789-8657
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301053463 Michigan

Profile Details

NPI number 1386602761
LBN Legal business name Barbour, Bruce Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 27th, 2009 - 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 1386602761 NPPES
Michigan MEDICAID 104492530
Michigan Other 1103802101
Michigan Other 110107482

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