Smith, Brendan Daniel Derivan

Smith, Brendan Daniel Derivan is an individual health care provider with primary practice located at 1003 Koala Dr , Omak WA 98841-9247. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Smith, Brendan Daniel Derivan can be contacted via phone (509) 422-5700.

Contact Information

Primary practice address
1003 Koala Dr Omak WA 98841-9247
Fax: (509) 422-7680
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X NT60112932 Washington

Profile Details

NPI number 1336474485
LBN Legal business name Smith, Brendan Daniel Derivan
Credentials N.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2009
Last updated Jul 21st, 2022 - about 4 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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