Bray, Bruce Edward
Bray, Bruce Edward is an individual health care provider with primary practice located at 707 Ash St , Spooner WI 54801-1234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bray, Bruce Edward can be contacted via phone (715) 635-2151.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36181-020 | Wisconsin |
Profile Details
| NPI number | 1154458537 |
|---|---|
| LBN Legal business name | Bray, Bruce Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | May 6th, 2011 - about 15 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 | 1154458537 | NPPES |
| Minnesota | MEDICAID | 426517300 |
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