Gaddis, William Bruce

Gaddis, William Bruce is an individual health care provider with primary practice located at 122 1St Ave Ste 600 , Fairbanks AK 99701-4899. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gaddis, William Bruce can be contacted via phone (907) 459-3800.

Contact Information

Primary practice address
122 1St Ave Ste 600 Fairbanks AK 99701-4899
Phone: (907) 459-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4350 Alaska

Profile Details

NPI number 1558836221
LBN Legal business name Gaddis, William Bruce
Credentials BA, CDC I
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2018
Last updated Apr 18th, 2019 - about 7 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 1558836221 NPPES
Alaska MEDICAID 1558836221

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