Speicher, Bruce
Speicher, Bruce is an individual health care provider with primary practice located at 6 13Th Ave E , Polson MT 59860. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Speicher, Bruce can be contacted via phone (406) 883-5680.Contact Information
Primary practice address
6 13Th Ave E
Polson MT 59860
Phone: (406) 883-5680
Fax: (406) 883-8910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 02000995 | Indiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 68487 | Montana |
Profile Details
| NPI number | 1184686859 |
|---|---|
| LBN Legal business name | Speicher, Bruce |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Aug 31st, 2018 - about 7 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 | 1184686859 | NPPES |
| Indiana | MEDICAID | 100318640A | |
| Indiana | Other | 000000181694 | |
| Indiana | MEDICAID | 114340109 | |
| Indiana | Other | 930101007 |
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