Pearson, Bruce R
Pearson, Bruce R is an individual health care provider with primary practice located at 580 N Washington St Dean Medical Center, Janesville WI 53548-2908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Pearson, Bruce R can be contacted via phone (608) 755-3500.Contact Information
Primary practice address
580 N Washington St Dean Medical Center
Janesville WI 53548-2908
Phone: (608) 755-3500
Fax: (608) 755-3500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 19639-020 | Wisconsin |
Profile Details
| NPI number | 1518919919 |
|---|---|
| LBN Legal business name | Pearson, Bruce R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1518919919 | NPPES |
| Wisconsin | MEDICAID | 31178900 | |
| Wisconsin | Other | 1040 |
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