Watkins, Bruce James
Watkins, Bruce James is an individual health care provider with primary practice located at 3369 Merlin Dr Ste B , Idaho Falls ID 83404-7405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Watkins, Bruce James can be contacted via phone (844) 919-4263.Contact Information
Primary practice address
3369 Merlin Dr Ste B
Idaho Falls ID 83404-7405
Phone: (844) 919-4263
Fax: (833) 513-0980
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 80664388017 | Utah |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 48738-020 | Wisconsin |
Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 8873 | South Dakota |
Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | M-13763 | Idaho |
Profile Details
NPI number | 1326240425 |
---|---|
LBN Legal business name | Watkins, Bruce James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2007 |
Last updated | Mar 28th, 2023 - about 2 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 | 1326240425 | NPPES |
South Dakota | MEDICAID | 1326240425 | |
South Dakota | MEDICAID | 1326240425 | |
South Dakota | MEDICAID | 1326240425 | |
South Dakota | MEDICAID | 1326240425 |
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