Smith, Bruce Michael

Smith, Bruce Michael is an individual health care provider with primary practice located at 2121 E Harmony Rd Suite 350, Fort Collins CO 80528-3404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Smith, Bruce Michael can be contacted via phone (970) 484-6373.

Contact Information

Primary practice address
2121 E Harmony Rd Suite 350 Fort Collins CO 80528-3404
Phone: (970) 484-6373
Fax: (970) 484-0382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 22552 Colorado

Profile Details

NPI number 1336119312
LBN Legal business name Smith, Bruce Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Nov 5th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336119312 NPPES
Colorado Other 22552 COLORADO LICENSE #
Colorado MEDICAID 107665500 COLORADO LICENSE #
Colorado Other 2913A COLORADO LICENSE #
Colorado MEDICAID 01225523 COLORADO LICENSE #

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