Bruce, Todd Robert

Bruce, Todd Robert is an individual health care provider with primary practice located at 1800 15Th St Suite 340, Greeley CO 80631-4500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bruce, Todd Robert can be contacted via phone (970) 378-4593.

Contact Information

Primary practice address
1800 15Th St Suite 340 Greeley CO 80631-4500
Phone: (970) 378-4593
Fax: (970) 378-4591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2051 Colorado

Profile Details

NPI number 1104883685
LBN Legal business name Bruce, Todd Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 28th, 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 1104883685 NPPES
Colorado MEDICAID 95650857

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