Child, Brent Lynn
Child, Brent Lynn is an sole proprietor health care provider with primary practice located at 10121 N Nevada St Suite 101, Spokane WA 99218-3120. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Child, Brent Lynn can be contacted via phone (509) 468-1685.Contact Information
Primary practice address
10121 N Nevada St Suite 101
Spokane WA 99218-3120
Phone: (509) 468-1685
Fax: (509) 468-8318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE9407 | Washington |
Profile Details
| NPI number | 1518949387 |
|---|---|
| LBN Legal business name | Child, Brent Lynn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1518949387 | NPPES |
| Washington | MEDICAID | 5046040 |
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