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
Fax: (904) 475-5809
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427039650 NPPES
Florida Other 970010568 RAILROAD MEDICARE

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