Bryan, William D

Bryan, William D is an individual health care provider with primary practice located at 2863 Highway 45 Byp , Jackson TN 38305-3618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bryan, William D can be contacted via phone (731) 664-1375.

Contact Information

Primary practice address
2863 Highway 45 Byp Jackson TN 38305-3618
Phone: (731) 664-1375
Fax: (731) 664-1378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17998 Tennessee

Profile Details

NPI number 1891780474
LBN Legal business name Bryan, William D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Nov 29th, 2012 - about 14 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 1891780474 NPPES
Tennessee MEDICAID 3043068

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