Debruin, Willaim J
Debruin, Willaim J is an individual health care provider with primary practice located at 703 Main St , Paterson NJ 07503-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Debruin, Willaim J can be contacted via phone (973) 754-2560.Contact Information
Primary practice address
703 Main St
Paterson NJ 07503-2621
Phone: (973) 754-2560
Fax: (973) 754-3702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MA57463 | New Jersey |
Profile Details
| NPI number | 1457353757 |
|---|---|
| LBN Legal business name | Debruin, Willaim J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Aug 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457353757 | NPPES |
| New Jersey | MEDICAID | 5043701 |
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