Washburne, Bruce Douglas
Washburne, Bruce Douglas is an individual health care provider with primary practice located at 1501 San Pedro Dr Se , Albuquerque NM 87108-5153. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Washburne, Bruce Douglas can be contacted via phone (505) 265-1711.Contact Information
Primary practice address
1501 San Pedro Dr Se
Albuquerque NM 87108-5153
Phone: (505) 265-1711
Fax: (505) 256-6414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-0957 | New Mexico |
Profile Details
| NPI number | 1093776940 |
|---|---|
| LBN Legal business name | Washburne, Bruce Douglas |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1093776940 | NPPES |
| New Mexico | Other | I-0957 | SOCIAL WORK LICENSE |
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