Williams, Bruce R

Williams, Bruce R is an individual health care provider with primary practice located at 805 E Lee St Suite C, Enterprise AL 36330-2368. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Williams, Bruce R can be contacted via phone (334) 348-8818.

Contact Information

Primary practice address
805 E Lee St Suite C Enterprise AL 36330-2368
Phone: (334) 348-8818
Fax: (334) 393-8773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 00007478 Alabama

Profile Details

NPI number 1417907791
LBN Legal business name Williams, Bruce R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 16th, 2017 - about 9 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 1417907791 NPPES
Alabama MEDICAID 000028379
Alabama Other 51028379

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