Wapen, Bruce David

Wapen, Bruce David is an sole proprietor health care provider with primary practice located at 1783 El Camino Real , Burlingame CA 94010-3205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wapen, Bruce David can be contacted via phone (650) 696-5500.

Contact Information

Primary practice address
1783 El Camino Real Burlingame CA 94010-3205
Phone: (650) 696-5500
Fax: (650) 696-5378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G28117 California

Profile Details

NPI number 1487684445
LBN Legal business name Wapen, Bruce David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Jul 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487684445 NPPES
California MEDICAID 00G281170

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