Andregg, Bruce C

Andregg, Bruce C is an individual health care provider with primary practice located at 535 S Pine St , Spokane WA 99202-1347. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Andregg, Bruce C can be contacted via phone (509) 623-2160.

Contact Information

Primary practice address
535 S Pine St Spokane WA 99202-1347
Phone: (509) 623-2160
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30001974 Washington

Profile Details

NPI number 1679677264
LBN Legal business name Andregg, Bruce C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Nov 9th, 2016 - about 9 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 1679677264 NPPES
Washington Other 911697924 TAX ID
Washington MEDICAID 9615964 TAX ID

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