Mccomas, Bruce C
Mccomas, Bruce C is an individual health care provider with primary practice located at 775 Pole Line Rd W Suite 212, Twin Falls ID 83301-5814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mccomas, Bruce C can be contacted via phone (208) 814-8400.Contact Information
Primary practice address
775 Pole Line Rd W Suite 212
Twin Falls ID 83301-5814
Phone: (208) 814-8400
Fax: (208) 734-3045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M5070 | Idaho |
Profile Details
| NPI number | 1235167198 |
|---|---|
| LBN Legal business name | Mccomas, Bruce C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Dec 29th, 2014 - about 11 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 | 1235167198 | NPPES |
| Idaho | Other | 020048945 | MCRR - SIGS |
| Idaho | Other | P00721163 | MCRR - SIGS |
| Idaho | MEDICAID | 000369200 | MCRR - SIGS |
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