James, Bruce Michael

James, Bruce Michael is an sole proprietor health care provider with primary practice located at 1120 Mcconville Rd Suite A, Lynchburg VA 24502-4534. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. James, Bruce Michael can be contacted via phone (434) 237-4652.

Contact Information

Primary practice address
1120 Mcconville Rd Suite A Lynchburg VA 24502-4534
Phone: (434) 237-4652
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 07180000118 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701-002204 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717-000248 Virginia

Profile Details

NPI number 1356459127
LBN Legal business name James, Bruce Michael
Credentials ED.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - 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 1356459127 NPPES
Virginia MEDICAID 5410142

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