Waller, Bruce F
Waller, Bruce F is an individual health care provider with primary practice located at 8333 Naab Rd Ste 420 , Indianapolis IN 46260-1992. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Waller, Bruce F can be contacted via phone (317) 338-6666.Contact Information
Primary practice address
8333 Naab Rd Ste 420
Indianapolis IN 46260-1992
Phone: (317) 338-6666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01031898A | Indiana |
Profile Details
| NPI number | 1114983095 |
|---|---|
| LBN Legal business name | Waller, Bruce F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | May 20th, 2022 - about 3 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 | 1114983095 | NPPES |
| Indiana | MEDICAID | 100226580 |
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