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
Fax: (816) 229-1181
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003801622 NPPES
Missouri MEDICAID 242574432
Missouri MEDICAID 100452270A

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