Washington, Bruce C

Washington, Bruce C is an individual health care provider with primary practice located at 18181 Oakwood Blvd Suite 102, Dearborn MI 48124-5032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Washington, Bruce C can be contacted via phone (313) 982-5533.

Contact Information

Primary practice address
18181 Oakwood Blvd Suite 102 Dearborn MI 48124-5032
Phone: (313) 982-5533
Fax: (313) 982-5508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301039685 Michigan
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301039685 Michigan

Profile Details

NPI number 1407814858
LBN Legal business name Washington, Bruce C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jan 30th, 2014 - about 10 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 1407814858 NPPES
Michigan MEDICAID 104432256

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