Watanabe, Bruce M.
Watanabe, Bruce M. is an individual health care provider with primary practice located at 530 9Th St , Florence OR 97439-7388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Watanabe, Bruce M. can be contacted via phone (541) 997-7104.Contact Information
Primary practice address
530 9Th St
Florence OR 97439-7388
Phone: (541) 997-7104
Fax: (541) 997-5975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD19240 | Oregon |
Profile Details
| NPI number | 1497798367 |
|---|---|
| LBN Legal business name | Watanabe, Bruce M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Dec 16th, 2009 - about 17 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 | 1497798367 | NPPES |
| Oregon | MEDICAID | 071985 |
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