Bomberger, William M.
Bomberger, William M. is an sole proprietor health care provider with primary practice located at 1001 W 2Nd Ave , Spokane WA 99201-4503. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bomberger, William M. can be contacted via phone (509) 835-1205.Contact Information
Primary practice address
1001 W 2Nd Ave
Spokane WA 99201-4503
Phone: (509) 835-1205
Fax: (509) 835-1208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-1486 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10004622 | Washington |
Profile Details
| NPI number | 1639194079 |
|---|---|
| LBN Legal business name | Bomberger, William M. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | May 20th, 2021 - about 3 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 | 1639194079 | NPPES |
| Washington | MEDICAID | 8427098 |
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