Lantelme, Bruce Edward

Lantelme, Bruce Edward is an sole proprietor health care provider with primary practice located at 3288 Robinhood Rd Suite 202, Winston Salem NC 27106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lantelme, Bruce Edward can be contacted via phone (336) 768-3335.

Contact Information

Primary practice address
3288 Robinhood Rd Suite 202 Winston Salem NC 27106
Fax: (336) 768-4171
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 96 01654 North Carolina

Profile Details

NPI number 1770576019
LBN Legal business name Lantelme, Bruce Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Mar 14th, 2012 - about 14 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 1770576019 NPPES
North Carolina MEDICAID 96-01654

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