Willgruber, Sean Timothy

Willgruber, Sean Timothy is an sole proprietor health care provider with primary practice located at 201 Park St , Bowling Green KY 42101-1759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Willgruber, Sean Timothy can be contacted via phone (270) 781-5111.

Contact Information

Primary practice address
201 Park St Bowling Green KY 42101-1759
Phone: (270) 781-5111
Fax: (270) 783-3779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 32326 Kentucky

Profile Details

NPI number 1790781649
LBN Legal business name Willgruber, Sean Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2005
Last updated Oct 27th, 2015 - about 9 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 1790781649 NPPES
Other 5151643 AETNA
Other 000000191881 AETNA
MEDICAID 64323264 AETNA

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