Jackson Dermatology
LBN: David R Bruce Do Inc
Jackson Dermatology is an health care organization with primary practice located at 817 Court St Suite #11, Jackson CA 95642-2156. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty.
David R Bruce Do Inc can be contacted via phone (209) 223-0038, or through Bruce, David Randall via phone (209) 223-0038.
Contact Information
Primary practice address
817 Court St Suite #11
Jackson CA 95642-2156
Phone: (209) 223-0038
Fax: (209) 223-0039
Website:
Authorized official contact:
Name: Bruce, David Randall Doctor of Osteopathy (DO)
Phone: (209) 223-0038
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 20A5045 | California |
Profile Details
| NPI number | 1841448297 |
|---|---|
| LBN Legal business name | David R Bruce Do Inc |
| DBA Doing business as | Jackson Dermatology |
| Authorized official | Bruce, David Randall Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 28th, 2008 |
| Last updated | Mar 2nd, 2009 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841448297 | NPPES |
| California | Other | 1164466041 | NPI |
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