Rayburn, Bruce Edward
Rayburn, Bruce Edward is an individual health care provider with primary practice located at 390 Griffith St , Pineville LA 71360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rayburn, Bruce Edward can be contacted via phone (318) 493-6323.Contact Information
Primary practice address
390 Griffith St
Pineville LA 71360
Phone: (318) 493-6323
Fax: (318) 443-6189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 018519 | Louisiana |
Profile Details
| NPI number | 1033292461 |
|---|---|
| LBN Legal business name | Rayburn, Bruce Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 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 | 1033292461 | NPPES |
| Louisiana | MEDICAID | 1911895 |
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