Bruya, Timothy E

Bruya, Timothy E is an individual health care provider with primary practice located at 104 W 5Th #400 West, Spokane WA 99204. He recently has only one registered license in Other Service Providers / Research Study, which is considered as his primary health care specialty. Bruya, Timothy E can be contacted via phone (509) 353-3960.

Contact Information

Primary practice address
104 W 5Th #400 West Spokane WA 99204
Phone: (509) 353-3960
Fax: (509) 343-0134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Research Study 1744R1102X MD00017383 Washington

Profile Details

NPI number 1558302125
LBN Legal business name Bruya, Timothy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Feb 19th, 2008 - about 16 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 1558302125 NPPES
Washington MEDICAID 8145203
Washington Other B002
Washington Other BR5756
Washington Other 130579
Washington MEDICAID 0024765

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