Bruce, Mary E

Bruce, Mary E is an individual health care provider with primary practice located at 1 Perkins Sq , Akron OH 44308-1063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bruce, Mary E can be contacted via phone (330) 543-8224.

Contact Information

Primary practice address
1 Perkins Sq Akron OH 44308-1063
Phone: (330) 543-8224
Fax: (330) 543-3648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2344 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 009354-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50.006760RX Ohio

Profile Details

NPI number 1508974700
LBN Legal business name Bruce, Mary E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Apr 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508974700 NPPES
Arkansas MEDICAID 199763795
Arkansas MEDICAID 07950511
Arkansas MEDICAID Q002143

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