Cline, Brent William
Cline, Brent William is an individual health care provider with primary practice located at 675 Yellowstone Ave , Pocatello ID 83201-4511. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Cline, Brent William can be contacted via phone (208) 478-5700.Contact Information
Primary practice address
675 Yellowstone Ave
Pocatello ID 83201-4511
Phone: (208) 478-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D4930 | Idaho |
Profile Details
| NPI number | 1487148979 |
|---|---|
| LBN Legal business name | Cline, Brent William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2018 |
| Last updated | Jun 18th, 2018 - about 8 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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