Jones, Bruce
Jones, Bruce is an individual health care provider with primary practice located at 3635 14Th Ave , Rock Island IL 61201-3069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jones, Bruce can be contacted via phone (309) 788-6244.Contact Information
Primary practice address
3635 14Th Ave
Rock Island IL 61201-3069
Phone: (309) 788-6244
Fax: (309) 788-6268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036061729 | Illinois |
Profile Details
| NPI number | 1902869548 |
|---|---|
| LBN Legal business name | Jones, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Sep 18th, 2013 - about 13 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 | 1902869548 | NPPES |
| Illinois | MEDICAID | 036061729 |
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