Bruce, Keith M
Bruce, Keith M is an individual health care provider with primary practice located at 8100 Three Chopt Rd Rm 143 , Henrico VA 23229-4833. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Bruce, Keith M can be contacted via phone (804) 269-4732.Contact Information
Primary practice address
8100 Three Chopt Rd Rm 143
Henrico VA 23229-4833
Phone: (804) 269-4732
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1144893025 |
|---|---|
| LBN Legal business name | Bruce, Keith M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2021 |
| Last updated | Jul 20th, 2021 - about 5 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 | 1144893025 | NPPES |
| Massachusetts | MEDICAID | 110026265E |
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