Mclaughlin, Bruce J
Mclaughlin, Bruce J is an sole proprietor health care provider with primary practice located at 1111 Montauk Hwy , West Islip NY 11795-4910. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Mclaughlin, Bruce J can be contacted via phone (631) 422-4450.Contact Information
Primary practice address
1111 Montauk Hwy
West Islip NY 11795-4910
Phone: (631) 422-4450
Fax: (631) 422-4451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | N003264 | New York |
Profile Details
| NPI number | 1336146596 |
|---|---|
| LBN Legal business name | Mclaughlin, Bruce J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2005 |
| Last updated | Apr 30th, 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 | 1336146596 | NPPES |
| New York | MEDICAID | 00713364 |
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