Wilson, Bruce Edward
Wilson, Bruce Edward is an sole proprietor health care provider with primary practice located at 925 Stevens Dr Ste 2E , Richland WA 99352-3523. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Wilson, Bruce Edward can be contacted via phone (509) 940-9052.Contact Information
Primary practice address
925 Stevens Dr Ste 2E
Richland WA 99352-3523
Phone: (509) 940-9052
Fax: (590) 940-9054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 0023055 | Washington |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD00023055 | Washington |
Profile Details
| NPI number | 1295826857 |
|---|---|
| LBN Legal business name | Wilson, Bruce Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jan 27th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295826857 | NPPES |
| Washington | Other | 0023055 | STATE LICENSE |
| Washington | MEDICAID | 121374 | STATE LICENSE |
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