Welsh, Bruce Lane
Welsh, Bruce Lane is an individual health care provider with primary practice located at 745 E. Joyce Suite 221, Fayetteville AR 72703. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Welsh, Bruce Lane can be contacted via phone (479) 443-1849.Contact Information
Primary practice address
745 E. Joyce Suite 221
Fayetteville AR 72703
Phone: (479) 443-1849
Fax: (479) 443-2034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2608 | Arkansas |
Profile Details
| NPI number | 1982772018 |
|---|---|
| LBN Legal business name | Welsh, Bruce Lane |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Oct 30th, 2009 - about 17 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 | 1982772018 | NPPES |
| Arkansas | MEDICAID | 71-0764541 |
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