Bouma, Bruce A
Bouma, Bruce A is an sole proprietor health care provider with primary practice located at 235 E Rowan Ave 204, Spokane WA 99207-1240. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bouma, Bruce A can be contacted via phone (509) 344-3100.Contact Information
Primary practice address
235 E Rowan Ave 204
Spokane WA 99207-1240
Phone: (509) 344-3100
Fax: (509) 344-3104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD00019896 | Washington |
Profile Details
| NPI number | 1780676734 |
|---|---|
| LBN Legal business name | Bouma, Bruce A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jan 20th, 2011 - about 14 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 | 1780676734 | NPPES |
| Washington | MEDICAID | 8322109 |
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