Rothbauer, Ian

Rothbauer, Ian is an sole proprietor health care provider with primary practice located at 12502 Vernon Ave Sw , Lakewood WA 98498-2559. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rothbauer, Ian can be contacted via phone (253) 582-9010.

Contact Information

Primary practice address
12502 Vernon Ave Sw Lakewood WA 98498-2559
Fax: (253) 582-1233
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE60663020 Washington

Profile Details

NPI number 1801394846
LBN Legal business name Rothbauer, Ian
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2018
Last updated Jan 24th, 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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