Larva, Bruce L

Larva, Bruce L is an sole proprietor health care provider with primary practice located at 3434 Celina Ave , Saint Joseph MI 49085-3711. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Larva, Bruce L can be contacted via phone (269) 429-7225.

Contact Information

Primary practice address
3434 Celina Ave Saint Joseph MI 49085-3711
Phone: (269) 429-7225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301038611 Michigan

Profile Details

NPI number 1720398563
LBN Legal business name Larva, Bruce L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2010
Last updated Oct 14th, 2010 - about 15 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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