Cunningham, Bruce D
Cunningham, Bruce D is an sole proprietor health care provider with primary practice located at 2630 E Chestnut Ave , Vineland NJ 08361-8400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cunningham, Bruce D can be contacted via phone (856) 691-1053.Contact Information
Primary practice address
2630 E Chestnut Ave
Vineland NJ 08361-8400
Phone: (856) 691-1053
Fax: (856) 691-9561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MB02500000 | New Jersey |
Profile Details
| NPI number | 1912031907 |
|---|---|
| LBN Legal business name | Cunningham, Bruce D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 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 | 1912031907 | NPPES |
| New Jersey | MEDICAID | 1994301 |
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