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
Phone: (336) 768-3335
Fax: (336) 768-4171
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770576019 | NPPES |
| North Carolina | MEDICAID | 96-01654 |
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