Wiley, Bruce

Wiley, Bruce is an sole proprietor health care provider with primary practice located at 4105 Kirkman St , Lake Charles LA 70607-4603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wiley, Bruce can be contacted via phone (337) 475-8022.

Contact Information

Primary practice address
4105 Kirkman St Lake Charles LA 70607-4603
Phone: (337) 475-8022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 10780R Louisiana

Profile Details

NPI number 1790823185
LBN Legal business name Wiley, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
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.

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