Williams, David Bruce

Williams, David Bruce is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Williams, David Bruce can be contacted via phone (270) 798-4677.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Phone: (270) 798-4677
Fax: (931) 645-4705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD13164 Tennessee

Profile Details

NPI number 1154441954
LBN Legal business name Williams, David Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jan 31st, 2019 - about 5 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 1154441954 NPPES
Tennessee Other 621829635 TAX IDENTIFICATION NO
Tennessee Other 3155576 TAX IDENTIFICATION NO
Tennessee MEDICAID 3858266 TAX IDENTIFICATION NO

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