Wilkerson, Bruce
Wilkerson, Bruce is an individual health care provider with primary practice located at 1305 Crowley Rayne Hwy , Crowley LA 70526-8202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wilkerson, Bruce can be contacted via phone (800) 893-9698.Contact Information
Primary practice address
1305 Crowley Rayne Hwy
Crowley LA 70526-8202
Phone: (800) 893-9698
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 019768 | Louisiana |
Profile Details
| NPI number | 1609839117 |
|---|---|
| LBN Legal business name | Wilkerson, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 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 | 1609839117 | NPPES |
| Louisiana | MEDICAID | 1377601 |
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