Walker, William Bradbury
Walker, William Bradbury is an individual health care provider with primary practice located at 1536 N Jefferson St , Jacksonville FL 32209-6525. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Walker, William Bradbury can be contacted via phone (904) 475-6319.Contact Information
Primary practice address
1536 N Jefferson St
Jacksonville FL 32209-6525
Phone: (904) 475-6319
Fax: (904) 475-5809
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9100985 | Florida |
Profile Details
NPI number | 1427039650 |
---|---|
LBN Legal business name | Walker, William Bradbury |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 5th, 2005 |
Last updated | Dec 3rd, 2019 - about 4 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 | 1427039650 | NPPES |
Florida | Other | 970010568 | RAILROAD MEDICARE |
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