Lum, Bruce
Lum, Bruce is an sole proprietor health care provider with primary practice located at 3028 Mermaid Ave , Brooklyn NY 11224-1806. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lum, Bruce can be contacted via phone (718) 996-7700.Contact Information
Primary practice address
3028 Mermaid Ave
Brooklyn NY 11224-1806
Phone: (718) 996-7700
Fax: (718) 996-8180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 037741 | New York |
Profile Details
| NPI number | 1548259799 |
|---|---|
| LBN Legal business name | Lum, Bruce |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Mar 22nd, 2008 - about 18 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 | 1548259799 | NPPES |
| New York | MEDICAID | 00809518 |
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