Bourland, William A
Bourland, William A is an individual health care provider with primary practice located at 222 N 2Nd St Ste 112, Boise ID 83702-6109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Bourland, William A can be contacted via phone (208) 947-0988.Contact Information
Primary practice address
222 N 2Nd St Ste 112
Boise ID 83702-6109
Phone: (208) 947-0988
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M5187 | Idaho |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | M5187 | Idaho |
Profile Details
| NPI number | 1447202718 |
|---|---|
| LBN Legal business name | Bourland, William A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Feb 29th, 2008 - 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.
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