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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1558302125 | NPPES |
| Washington | MEDICAID | 8145203 | |
| Washington | Other | B002 | |
| Washington | Other | BR5756 | |
| Washington | Other | 130579 | |
| Washington | MEDICAID | 0024765 |
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