Groom, Bruce Allen

Groom, Bruce Allen is an sole proprietor health care provider with primary practice located at 639 Lotus Drive N Suite B, Mandeville LA 70470. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Groom, Bruce Allen can be contacted via phone (985) 626-6133.

Contact Information

Primary practice address
639 Lotus Drive N Suite B Mandeville LA 70470
Phone: (985) 626-6133
Fax: (985) 626-6136
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R4295 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R4295 Arkansas

Profile Details

NPI number 1639270382
LBN Legal business name Groom, Bruce Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 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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