Bruce, Charles O

Bruce, Charles O is an individual health care provider with primary practice located at 301 E Muhammad Ali Blvd , Louisville KY 40202-1511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bruce, Charles O can be contacted via phone (502) 588-0550.

Contact Information

Primary practice address
301 E Muhammad Ali Blvd Louisville KY 40202-1511
Phone: (502) 588-0550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 16209 Kentucky

Profile Details

NPI number 1730145657
LBN Legal business name Bruce, Charles O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jan 14th, 2019 - about 6 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 1730145657 NPPES
Kentucky MEDICAID 64162092
Kentucky Other 16209
Kentucky Other K267010
Kentucky MEDICAID 300020691

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