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:
Health care specialties
| Specialty | Code | License # | 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 16 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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