Redden, Gary
Redden, Gary is an sole proprietor health care provider with primary practice located at 222 E Indiana Ave , Spokane WA 99207-2318. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Redden, Gary can be contacted via phone (509) 323-5355.Contact Information
Primary practice address
222 E Indiana Ave
Spokane WA 99207-2318
Phone: (509) 323-5355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1578777512 |
|---|---|
| LBN Legal business name | Redden, Gary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | May 18th, 2021 - about 5 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 | 1578777512 | NPPES |
| Washington | MEDICAID | 94-1156347 |
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