Dunlap, Bruce Allen

Dunlap, Bruce Allen is an individual health care provider with primary practice located at 1109 Lake Shire Dr , West Columbia SC 29170-3042. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Dunlap, Bruce Allen can be contacted via phone (803) 606-3570.

Contact Information

Primary practice address
1109 Lake Shire Dr West Columbia SC 29170-3042
Phone: (803) 606-3570
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1538247861
LBN Legal business name Dunlap, Bruce Allen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538247861 NPPES
South Carolina MEDICAID WP9901

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