Bruce, Allen Thomas
Bruce, Allen Thomas is an individual health care provider with primary practice located at 50 Sewall St , Portland ME 04102-2645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bruce, Allen Thomas can be contacted via phone (207) 775-3526.Contact Information
Primary practice address
50 Sewall St
Portland ME 04102-2645
Phone: (207) 775-3526
Fax: (207) 775-5658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 018852 | Maine |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301083648 | Michigan |
Profile Details
| NPI number | 1427175934 |
|---|---|
| LBN Legal business name | Bruce, Allen Thomas |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Dec 7th, 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 | 1427175934 | NPPES |
| Michigan | Other | 5315017780 | CONTROLLED SUBSTANCE LICE |
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