Crowley, Bruce Patterson
Crowley, Bruce Patterson is an individual health care provider with primary practice located at 130 Vann St Ne Suite 230, Marietta GA 30060-7250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Crowley, Bruce Patterson can be contacted via phone (770) 425-1341.Contact Information
Primary practice address
130 Vann St Ne Suite 230
Marietta GA 30060-7250
Phone: (770) 425-1341
Fax: (770) 428-6484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 031228 | Georgia |
Profile Details
| NPI number | 1306810080 |
|---|---|
| LBN Legal business name | Crowley, Bruce Patterson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Aug 9th, 2007 - about 19 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 | 1306810080 | NPPES |
| Georgia | MEDICAID | 00474097B | |
| Georgia | MEDICAID | 00474097E | |
| Georgia | MEDICAID | 00474097C |
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