Webber, Bruce Leonard

Webber, Bruce Leonard is an individual health care provider with primary practice located at 6046 Knight Arnold Road Ext Suite 101, Memphis TN 38115-3347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Webber, Bruce Leonard can be contacted via phone (901) 542-6801.

Contact Information

Primary practice address
6046 Knight Arnold Road Ext Suite 101 Memphis TN 38115-3347
Phone: (901) 542-6801
Fax: (901) 542-6871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD0000012393 Tennessee

Profile Details

NPI number 1598795494
LBN Legal business name Webber, Bruce Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jul 9th, 2007 - about 18 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 1598795494 NPPES
Tennessee MEDICAID 000000005210
Tennessee Other 3025108
Tennessee MEDICAID 3025108
Tennessee MEDICAID 3041868
Tennessee Other 96813

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