Hyde, Bruce Ronald

Hyde, Bruce Ronald is an individual health care provider with primary practice located at 658 E Main St , Centreville MI 49032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hyde, Bruce Ronald can be contacted via phone (269) 467-3228.

Contact Information

Primary practice address
658 E Main St Centreville MI 49032
Phone: (269) 467-3228
Fax: (269) 467-3500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G69423 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301073551 Michigan

Profile Details

NPI number 1669628160
LBN Legal business name Hyde, Bruce Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2008
Last updated Feb 2nd, 2017 - about 9 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 1669628160 NPPES
Michigan Other 4301073551 MEDICAL LICENSE
Michigan Other G69423 MEDICAL LICENSE

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