Williams, Bruce R
Williams, Bruce R is an individual health care provider with primary practice located at 1509 Nw Mock Ave , Blue Springs MO 64015-3096. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Williams, Bruce R can be contacted via phone (816) 229-8187.Contact Information
Primary practice address
1509 Nw Mock Ave
Blue Springs MO 64015-3096
Phone: (816) 229-8187
Fax: (816) 229-1181
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO R9H16 | Missouri |
Profile Details
NPI number | 1003801622 |
---|---|
LBN Legal business name | Williams, Bruce R |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2005 |
Last updated | Dec 21st, 2009 - about 15 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 | 1003801622 | NPPES |
Missouri | MEDICAID | 242574432 | |
Missouri | MEDICAID | 100452270A |
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