Kinzinger, Bruce C

Kinzinger, Bruce C is an individual health care provider with primary practice located at 995 Hospitality Way , Aberdeen MD 21001-1755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kinzinger, Bruce C can be contacted via phone (410) 306-7880.

Contact Information

Primary practice address
995 Hospitality Way Aberdeen MD 21001-1755
Phone: (410) 306-7880
Fax: (410) 306-7881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD418799 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0044260 Maryland

Profile Details

NPI number 1174552012
LBN Legal business name Kinzinger, Bruce C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Feb 15th, 2022 - about 4 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 1174552012 NPPES
Pennsylvania MEDICAID 001890267

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