Fernandes, Bruce
Fernandes, Bruce is an sole proprietor health care provider with primary practice located at 35 Winter St , Hyannis MA 02601-3827. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fernandes, Bruce can be contacted via phone (508) 790-3863.Contact Information
Primary practice address
35 Winter St
Hyannis MA 02601-3827
Phone: (508) 790-3863
Fax: (508) 790-3863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1291 | Massachusetts |
Profile Details
| NPI number | 1699880914 |
|---|---|
| LBN Legal business name | Fernandes, Bruce |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Aug 8th, 2008 - about 18 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 | 1699880914 | NPPES |
| Massachusetts | MEDICAID | 1611603 |
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