Bray, William

Bray, William is an individual health care provider with primary practice located at 1321 Unity Place , Lafayette IN 47905-5774. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bray, William can be contacted via phone (765) 446-2450.

Contact Information

Primary practice address
1321 Unity Place Lafayette IN 47905-5774
Fax: (765) 446-1083
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01048895 Indiana
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 01048895 Indiana

Profile Details

NPI number 1629099908
LBN Legal business name Bray, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jun 16th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629099908 NPPES
Indiana MEDICAID 200248280

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