Houston, Bruce G.

Houston, Bruce G. is an individual health care provider with primary practice located at 2002 Palmyra Rd Suite 101, Albany GA 31701-1591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Houston, Bruce G. can be contacted via phone (229) 889-9367.

Contact Information

Primary practice address
2002 Palmyra Rd Suite 101 Albany GA 31701-1591
Phone: (229) 889-9367
Fax: (229) 317-0678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 033166 Georgia

Profile Details

NPI number 1285629907
LBN Legal business name Houston, Bruce G.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jan 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285629907 NPPES
Georgia Other 110182702 RR MEDICARE PROVIDER #
Georgia MEDICAID 000434772B RR MEDICARE PROVIDER #

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