Bruckner, James David
Bruckner, James David is an individual health care provider with primary practice located at 3101 Northup Way Ste 201 , Bellevue WA 98004-1435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bruckner, James David can be contacted via phone (425) 455-3600.Contact Information
Primary practice address
3101 Northup Way Ste 201
Bellevue WA 98004-1435
Phone: (425) 455-3600
Fax: (425) 455-3920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD00027573 | Washington |
Profile Details
| NPI number | 1154392942 |
|---|---|
| LBN Legal business name | Bruckner, James David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jun 12th, 2024 - about 2 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 | 1154392942 | NPPES |
| Washington | MEDICAID | 2022327 | |
| Washington | Other | 0180310 |
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