Meyer, Bruce W
Meyer, Bruce W is an individual health care provider with primary practice located at 1080 Emeline Ave Homeless Persons Health Project, Santa Cruz CA 95060-1966. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Meyer, Bruce W can be contacted via phone (831) 454-5182.Contact Information
Primary practice address
1080 Emeline Ave Homeless Persons Health Project
Santa Cruz CA 95060-1966
Phone: (831) 454-5182
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | ||
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PSY 17557 | California |
Profile Details
| NPI number | 1205040961 |
|---|---|
| LBN Legal business name | Meyer, Bruce W |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Dec 12th, 2016 - about 10 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 | 1205040961 | NPPES |
| California | Other | ZZZ91892Z | SANTA CRUZ COUNTY CA MEDICARE GROUP PTAN# |
| California | Other | FHC 70042F | SANTA CRUZ COUNTY CA MEDICARE GROUP PTAN# |
| California | Other | ZZZ91891Z | SANTA CRUZ COUNTY CA MEDICARE GROUP PTAN# |
| California | Other | FHC70044F | SANTA CRUZ COUNTY CA MEDICARE GROUP PTAN# |
| California | Other | ZZZ92069Z | SANTA CRUZ COUNTY CA MEDICARE GROUP PTAN# |
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