Block, Bruce Irwin
Block, Bruce Irwin is an sole proprietor health care provider with primary practice located at 103 Ramblewood Pkwy , Mount Laurel NJ 08054-2315. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Block, Bruce Irwin can be contacted via phone (856) 235-4778.Contact Information
Primary practice address
103 Ramblewood Pkwy
Mount Laurel NJ 08054-2315
Phone: (856) 235-4778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00291100 | New Jersey |
Profile Details
| NPI number | 1598831919 |
|---|---|
| LBN Legal business name | Block, Bruce Irwin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Aug 26th, 2010 - about 16 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 | 1598831919 | NPPES |
| New Jersey | MEDICAID | 1373901 |
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