Soltys, Mark R
Soltys, Mark R is an sole proprietor health care provider with primary practice located at 600 Winslow Way E Suite L20, Bainbridge Island WA 98110-2463. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Soltys, Mark R can be contacted via phone (206) 842-7100.Contact Information
Primary practice address
600 Winslow Way E Suite L20
Bainbridge Island WA 98110-2463
Phone: (206) 842-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5913 | Washington |
Profile Details
| NPI number | 1003855644 |
|---|---|
| LBN Legal business name | Soltys, Mark R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jul 8th, 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 | 1003855644 | NPPES |
| Washington | Other | 4104SO | INSURANCE PROVIDER |
| Washington | Other | 07108 | INSURANCE PROVIDER |
| Washington | MEDICAID | 5100201 | INSURANCE PROVIDER |
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