Willham, Bruce
Willham, Bruce is an individual health care provider with primary practice located at 315 M L King Jr Way Attn: Pediatrix Medical Group, Tacoma WA 98405-4234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Willham, Bruce can be contacted via phone (253) 403-1019.Contact Information
Primary practice address
315 M L King Jr Way Attn: Pediatrix Medical Group
Tacoma WA 98405-4234
Phone: (253) 403-1019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 22636 | Washington |
Profile Details
| NPI number | 1447200704 |
|---|---|
| LBN Legal business name | Willham, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 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 | 1447200704 | NPPES |
| Washington | MEDICAID | 8306540 |
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