Wing, Bruce A
Wing, Bruce A is an individual health care provider with primary practice located at 1620 Cooper Point Rd Sw , Olympia WA 98502. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wing, Bruce A can be contacted via phone (360) 486-6710.Contact Information
Primary practice address
1620 Cooper Point Rd Sw
Olympia WA 98502
Phone: (360) 486-6710
Fax: (360) 705-0614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 19509 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | AMD 412 | Hawaii |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60705033 | Washington |
Profile Details
| NPI number | 1093995698 |
|---|---|
| LBN Legal business name | Wing, Bruce A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2007 |
| Last updated | May 21st, 2018 - about 6 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 | 1093995698 | NPPES |
| Maine | MEDICAID | 433905099 |
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