Bruce, Scott Randal

Bruce, Scott Randal is an individual health care provider with primary practice located at 1633 Celina Rd , St Marys OH 45885-1215. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bruce, Scott Randal can be contacted via phone (419) 394-8194.

Contact Information

Primary practice address
1633 Celina Rd St Marys OH 45885-1215
Phone: (419) 394-8194
Fax: (419) 394-4783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1393 Ohio

Profile Details

NPI number 1952453250
LBN Legal business name Bruce, Scott Randal
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Feb 21st, 2008 - about 18 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 1952453250 NPPES
Ohio MEDICAID 0868744

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