Bruce, William

Bruce, William is an sole proprietor health care provider with primary practice located at 225 Medical Center Dr Suite 201, Paducah KY 42003-7914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bruce, William can be contacted via phone (270) 441-4200.

Contact Information

Primary practice address
225 Medical Center Dr Suite 201 Paducah KY 42003-7914
Fax: (270) 441-4249
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20596 Kentucky

Profile Details

NPI number 1831184704
LBN Legal business name Bruce, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2005
Last updated Feb 7th, 2017 - about 8 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 1831184704 NPPES
Kentucky MEDICAID 64205966

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