East, William Robert
East, William Robert is an sole proprietor health care provider with primary practice located at 1901 Medi-Park Suite 6, Amarillo TX 79106-2105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. East, William Robert can be contacted via phone (806) 355-7421.Contact Information
Primary practice address
1901 Medi-Park Suite 6
Amarillo TX 79106-2105
Phone: (806) 355-7421
Fax: (806) 358-2381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | D2215 | Texas |
Profile Details
| NPI number | 1275588964 |
|---|---|
| LBN Legal business name | East, William Robert |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | May 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275588964 | NPPES |
| Texas | MEDICAID | 034377401 | |
| Texas | Other | 072417195 | |
| Texas | Other | 112095100 | |
| Texas | Other | 00K398 |
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