Brigham, William F.

Brigham, William F. is an individual health care provider with primary practice located at 902 W Wayne St , Fort Wayne IN 46802-3946. He recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as his primary health care specialty. Brigham, William F. can be contacted via phone (260) 422-9421.

Contact Information

Primary practice address
902 W Wayne St Fort Wayne IN 46802-3946
Fax: (260) 422-9422
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X 18001470A Indiana

Profile Details

NPI number 1750364006
LBN Legal business name Brigham, William F.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 10th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750364006 NPPES
Indiana MEDICAID 100280170A

Popular Providers