Rael, Bruce
Rael, Bruce is an sole proprietor health care provider with primary practice located at 3022 Cielo Ct Ste A, Santa Fe NM 87507. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rael, Bruce can be contacted via phone (505) 473-7673.Contact Information
Primary practice address
3022 Cielo Ct Ste A
Santa Fe NM 87507
Phone: (505) 473-7673
Fax: (505) 438-4501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT2370 | New Mexico |
Profile Details
| NPI number | 1518015015 |
|---|---|
| LBN Legal business name | Rael, Bruce |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Apr 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 | 1518015015 | NPPES |
| New Mexico | MEDICAID | H4763 |
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