Jennings, William Bryan
Jennings, William Bryan is an individual health care provider with primary practice located at 170 Kimel Park Dr , Winston Salem NC 27103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Jennings, William Bryan can be contacted via phone (336) 768-1270.Contact Information
Primary practice address
170 Kimel Park Dr
Winston Salem NC 27103
Phone: (336) 768-1270
Fax: (336) 765-6375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 200400218 | North Carolina |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 200400218 | North Carolina |
Profile Details
| NPI number | 1306849047 |
|---|---|
| LBN Legal business name | Jennings, William Bryan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2005 |
| Last updated | Aug 13th, 2020 - about 4 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 | 1306849047 | NPPES |
| North Carolina | MEDICAID | 89136WG | |
| North Carolina | MEDICAID | 1306849047 | |
| North Carolina | Other | 0223770001 |
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