Buntain, William L

Buntain, William L is an individual health care provider with primary practice located at 2350 N Rockton Ave , Rockford IL 61103-3600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Buntain, William L can be contacted via phone (815) 971-7255.

Contact Information

Primary practice address
2350 N Rockton Ave Rockford IL 61103-3600
Phone: (815) 971-7255
Fax: (815) 971-9955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20030056 New Mexico
Allopathic & Osteopathic Physicians / Surgery 208600000X 036131963 Illinois
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 04-23862 Kansas

Profile Details

NPI number 1700902608
LBN Legal business name Buntain, William L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Nov 22nd, 2016 - about 9 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 1700902608 NPPES
New Mexico MEDICAID 35326751

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