Dudley, Bruce W
Dudley, Bruce W is an individual health care provider with primary practice located at 17210 Van Wagoner Rd , Spring Lake MI 49456-9702. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Dudley, Bruce W can be contacted via phone (616) 296-2262.Contact Information
Primary practice address
17210 Van Wagoner Rd
Spring Lake MI 49456-9702
Phone: (616) 296-2262
Fax: (616) 935-3535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist | 225800000X | PT60182844 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501016218 | Michigan |
Profile Details
| NPI number | 1871808402 |
|---|---|
| LBN Legal business name | Dudley, Bruce W |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2010 |
| Last updated | Nov 24th, 2021 - about 5 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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