Bruce, Mary Ann
Bruce, Mary Ann is an individual health care provider with primary practice located at 8930 Stanford Blvd , Columbia MD 21045-5805. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bruce, Mary Ann can be contacted via phone (410) 313-6281.Contact Information
Primary practice address
8930 Stanford Blvd
Columbia MD 21045-5805
Phone: (410) 313-6281
Fax: (410) 313-6212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCA382 | Maryland |
Profile Details
| NPI number | 1750517892 |
|---|---|
| LBN Legal business name | Bruce, Mary Ann |
| Credentials | LCADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2009 |
| Last updated | Apr 23rd, 2018 - about 8 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 | 1750517892 | NPPES |
| Maryland | MEDICAID | 1750517892 |
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