Underwood, Bruce Calvin

Underwood, Bruce Calvin is an sole proprietor health care provider with primary practice located at 75895 Altamira Dr , Indian Wells CA 92210-8768. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Other Service Providers / Health Educator. Dietary & Nutritional Service Providers / Nutritionist is his primary health care specialty. Underwood, Bruce Calvin can be contacted via phone (760) 238-1446.

Contact Information

Primary practice address
75895 Altamira Dr Indian Wells CA 92210-8768
Phone: (760) 238-1446
Fax: (760) 773-9706
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X California
Dietary & Nutritional Service Providers / Nutritionist 133N00000X California
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X California
Other Service Providers / Health Educator 174H00000X California

Profile Details

NPI number 1851743827
LBN Legal business name Underwood, Bruce Calvin
Credentials DR.P.H.,M.S.E.,M.P.H
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2016
Last updated Jul 1st, 2016 - about 10 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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