Bruce, William Jay

Bruce, William Jay is an sole proprietor health care provider with primary practice located at 102 S 1St Ave Suite 202, Sandpoint ID 83864-1398. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bruce, William Jay can be contacted via phone (208) 550-8861.

Contact Information

Primary practice address
102 S 1St Ave Suite 202 Sandpoint ID 83864-1398
Phone: (208) 550-8861
Fax: (208) 263-1796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC-3689 Idaho

Profile Details

NPI number 1942552054
LBN Legal business name Bruce, William Jay
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2012
Last updated Dec 2nd, 2016 - about 10 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 1942552054 NPPES
Idaho MEDICAID 1942552054

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