Brancheau, Brian Michael
Brancheau, Brian Michael is an sole proprietor health care provider with primary practice located at 4100 194Th St Sw Ste 209 , Lynnwood WA 98036-4613. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Brancheau, Brian Michael can be contacted via phone (206) 422-5083.Contact Information
Primary practice address
4100 194Th St Sw Ste 209
Lynnwood WA 98036-4613
Phone: (206) 422-5083
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE 60306318 | Washington |
| Dental Providers / Periodontics | 1223P0300X | DE60306318 | Washington |
Profile Details
| NPI number | 1407289457 |
|---|---|
| LBN Legal business name | Brancheau, Brian Michael |
| Credentials | DDS, MSD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2013 |
| Last updated | Feb 5th, 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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